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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126818542 | 12681854 | 2 | F | 20160327 | 20160909 | 20160824 | 20160922 | EXP | US-EMD SERONO-8102367 | EMD SERONO INC | 50.38 | YR | F | Y | 0.00000 | 20160922 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126818542 | 12681854 | 1 | PS | REBIF | INTERFERON BETA-1A | 1 | 103780 | INJECTION | |||||||||||
| 126818542 | 12681854 | 2 | C | GABAPENTIN. | GABAPENTIN | 1 | 0 | ||||||||||||
| 126818542 | 12681854 | 3 | C | PAXIL | PAROXETINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126818542 | 12681854 | 4 | C | LORCET | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | 0 | ||||||||||||
| 126818542 | 12681854 | 5 | C | VITAMIN E /00110501/ | TOCOPHEROL | 1 | 0 | ||||||||||||
| 126818542 | 12681854 | 6 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | 0 | ||||||||||||
| 126818542 | 12681854 | 7 | C | VITAMIN D /00107901/ | ERGOCALCIFEROL | 1 | 0 | ||||||||||||
| 126818542 | 12681854 | 8 | C | TRAMADOL HYDROCHLORIDE. | TRAMADOL HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126818542 | 12681854 | 9 | C | BACLOFEN. | BACLOFEN | 1 | 0 | ||||||||||||
| 126818542 | 12681854 | 10 | C | CALCIUM | CALCIUM | 1 | 0 | ||||||||||||
| 126818542 | 12681854 | 11 | C | MULTIVITAMIN /00097801/ | VITAMINS | 1 | 0 | ||||||||||||
| 126818542 | 12681854 | 12 | C | OXYBUTYNIN CHLORIDE. | OXYBUTYNIN CHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126818542 | 12681854 | 1 | Multiple sclerosis |
| 126818542 | 12681854 | 2 | Product used for unknown indication |
| 126818542 | 12681854 | 3 | Product used for unknown indication |
| 126818542 | 12681854 | 4 | Product used for unknown indication |
| 126818542 | 12681854 | 5 | Product used for unknown indication |
| 126818542 | 12681854 | 6 | Product used for unknown indication |
| 126818542 | 12681854 | 7 | Product used for unknown indication |
| 126818542 | 12681854 | 8 | Product used for unknown indication |
| 126818542 | 12681854 | 9 | Product used for unknown indication |
| 126818542 | 12681854 | 10 | Product used for unknown indication |
| 126818542 | 12681854 | 11 | Product used for unknown indication |
| 126818542 | 12681854 | 12 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126818542 | 12681854 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126818542 | 12681854 | Drug dose omission | |
| 126818542 | 12681854 | Gait disturbance | |
| 126818542 | 12681854 | Lower limb fracture |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |