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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126429271 | 12642927 | 1 | I | 20160802 | 20160803 | 20160811 | 20160811 | EXP | CA-TEVA-683678ACC | TEVA | 21.12 | YR | M | Y | 0.00000 | 20160811 | CN | CA | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126429271 | 12642927 | 1 | PS | COPAXONE | GLATIRAMER ACETATE | 1 | Subcutaneous | 20 MILLIGRAM DAILY; | 20622 | 20 | MG | INJECTION | QD | ||||||
| 126429271 | 12642927 | 2 | C | VITAMIN D | CHOLECALCIFEROL | 1 | 0 | ||||||||||||
| 126429271 | 12642927 | 3 | C | Omega 3 Complex | 2 | 0 | |||||||||||||
| 126429271 | 12642927 | 4 | C | Omega B Complex | 2 | 0 | |||||||||||||
| 126429271 | 12642927 | 5 | C | Vitamin B | VITAMIN B | 1 | 0 | ||||||||||||
| 126429271 | 12642927 | 6 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | 0 | ||||||||||||
| 126429271 | 12642927 | 7 | C | Probiotic | PROBIOTICS NOS | 1 | 0 | ||||||||||||
| 126429271 | 12642927 | 8 | C | FOLIC ACID. | FOLIC ACID | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126429271 | 12642927 | 1 | Multiple sclerosis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126429271 | 12642927 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126429271 | 12642927 | Dyspnoea | |
| 126429271 | 12642927 | Loss of consciousness |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 126429271 | 12642927 | 1 | 20160610 | 0 |