Person who experienced the adverse event (patient)
Event ID | CASEID | CASEVERSION | I F COD | EVENT DT | MFR DT | INIT FDA DT | FDA DT | REPT COD | AUTH NUM | MFR NUM | MFR SNDR | LIT REF | AGE | AGE COD | AGE GRP | GNDR COD | E SUB | WT | WT COD | REPT DT | TO MFR | OCCP COD | REPORTER COUNTRY | OCCR COUNTRY |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126341861 | 12634186 | 1 | I | 20160722 | 0 | 20160808 | 20160808 | DIR | 76.00 | YR | M | N | 0.00000 | 20160805 | Y | PH | US |
Drug(s) used by person
Event ID | CASEID | DRUG SEQ | ROLE COD | DRUGNAME | PROD AI | VAL VBM | ROUTE | DOSE VBM | CUM DOSE CHR | CUM DOSE UNIT | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM | DOSE AMT | DOSE UNIT | DOSE FORM | DOSE FREQ |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126341861 | 12634186 | 1 | PS | AMPYRA | DALFAMPRIDINE | 1 | Oral | D | D | TCNV | 20180430 | 0 | 10 | MG | BID | ||||
126341861 | 12634186 | 2 | C | EXTAVIA | INTERFERON BETA-1B | 1 | 0 | ||||||||||||
126341861 | 12634186 | 3 | C | FOSAMAX | ALENDRONATE SODIUM | 1 | 0 | ||||||||||||
126341861 | 12634186 | 4 | C | KEFLEX | CEPHALEXIN | 1 | 0 | ||||||||||||
126341861 | 12634186 | 5 | C | CHOLECALCIFEROL | CHOLECALCIFEROL | 1 | 0 | ||||||||||||
126341861 | 12634186 | 6 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | 0 | ||||||||||||
126341861 | 12634186 | 7 | C | ATENOLOL. | ATENOLOL | 1 | 0 | ||||||||||||
126341861 | 12634186 | 8 | C | SIMVASTATIN. | SIMVASTATIN | 1 | 0 | ||||||||||||
126341861 | 12634186 | 9 | C | LISINOPRIL AND HYDROCHLOROTHIAZIDE | HYDROCHLOROTHIAZIDELISINOPRIL | 1 | 0 | ||||||||||||
126341861 | 12634186 | 10 | C | POLYTRIM | POLYMYXIN B SULFATETRIMETHOPRIM SULFATE | 1 | 0 | ||||||||||||
126341861 | 12634186 | 11 | C | ACULAR | KETOROLAC TROMETHAMINE | 1 | 0 | ||||||||||||
126341861 | 12634186 | 12 | C | PRED FORTE | PREDNISOLONE ACETATE | 1 | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126341861 | 12634186 | 1 | Multiple sclerosis |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126341861 | 12634186 | Laboratory test abnormal |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | CASEID | RPSR COD |
---|---|---|
126341861 | 12634186 | HP |
126341861 | 12634186 | UF |
Therapies reported
Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|---|
126341861 | 12634186 | 1 | 201607 | 0 |