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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126493091 | 12649309 | 1 | I | 2016 | 20160801 | 20160812 | 20160812 | EXP | US-TEVA-682061USA | TEVA | 0.00 | F | Y | 0.00000 | 20160812 | PH | US | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126493091 | 12649309 | 1 | PS | COPAXONE | GLATIRAMER ACETATE | 1 | Subcutaneous | C42213 | 20622 | 40 | MG | INJECTION | TIW | ||||||
| 126493091 | 12649309 | 2 | C | ARICEPT | DONEPEZIL HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126493091 | 12649309 | 3 | C | BACLOFEN. | BACLOFEN | 1 | 0 | ||||||||||||
| 126493091 | 12649309 | 4 | C | BUPROPION. | BUPROPION | 1 | 0 | ||||||||||||
| 126493091 | 12649309 | 5 | C | CLONAZEPAM. | CLONAZEPAM | 1 | 0 | ||||||||||||
| 126493091 | 12649309 | 6 | C | DIAZEPAM. | DIAZEPAM | 1 | 0 | ||||||||||||
| 126493091 | 12649309 | 7 | C | DILTIAZEM. | DILTIAZEM | 1 | 0 | ||||||||||||
| 126493091 | 12649309 | 8 | C | GABAPENTIN. | GABAPENTIN | 1 | 0 | ||||||||||||
| 126493091 | 12649309 | 9 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | 0 | ||||||||||||
| 126493091 | 12649309 | 10 | C | REFRESH | UNSPECIFIED INGREDIENT | 1 | 0 | ||||||||||||
| 126493091 | 12649309 | 11 | C | SERTRALINE | SERTRALINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126493091 | 12649309 | 12 | C | SIMVASTATIN. | SIMVASTATIN | 1 | 0 | ||||||||||||
| 126493091 | 12649309 | 13 | C | TRAZODONE | TRAZODONE HYDROCHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126493091 | 12649309 | 1 | Multiple sclerosis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126493091 | 12649309 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126493091 | 12649309 | Drug dose omission | |
| 126493091 | 12649309 | Shoulder operation |
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 |
|---|---|---|---|---|---|---|
| 126493091 | 12649309 | 1 | 20141120 | 0 |