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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126585281 | 12658528 | 1 | I | 20160815 | 0 | 20160816 | 20160816 | DIR | 71.00 | YR | F | N | 0.00000 | 20160815 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126585281 | 12658528 | 1 | PS | AMPYRA | DALFAMPRIDINE | 1 | Oral | D | D | TCNV | 20180430 | 0 | 10 | MG | Q12H | ||||
| 126585281 | 12658528 | 3 | C | ATORVASTATIN | ATORVASTATIN | 1 | 0 | ||||||||||||
| 126585281 | 12658528 | 5 | C | BACLOFEN. | BACLOFEN | 1 | 0 | ||||||||||||
| 126585281 | 12658528 | 7 | C | CYANOCOBALAMIN. | CYANOCOBALAMIN | 1 | 0 | ||||||||||||
| 126585281 | 12658528 | 9 | C | OXYBUTYNIN | OXYBUTYNIN | 1 | 0 | ||||||||||||
| 126585281 | 12658528 | 11 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126585281 | 12658528 | 1 | Multiple sclerosis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126585281 | 12658528 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126585281 | 12658528 | Pruritus | |
| 126585281 | 12658528 | Urticaria |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 126585281 | 12658528 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 126585281 | 12658528 | 1 | 20160725 | 0 |