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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127069041 | 12706904 | 1 | I | 20160718 | 20160901 | 20160901 | PER | US-TEVA-678841USA | TEVA | 0.00 | F | Y | 77.18000 | KG | 20160901 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127069041 | 12706904 | 1 | PS | COPAXONE | GLATIRAMER ACETATE | 1 | Subcutaneous | 20622 | INJECTION | ||||||||||
| 127069041 | 12706904 | 2 | SS | AMPYRA | DALFAMPRIDINE | 1 | Oral | 20 MILLIGRAM DAILY; | TNKN | 0 | 10 | MG | TABLET | BID | |||||
| 127069041 | 12706904 | 3 | SS | AMPYRA | DALFAMPRIDINE | 1 | Oral | 20 MILLIGRAM DAILY; | TNKN | 0 | 10 | MG | TABLET | BID | |||||
| 127069041 | 12706904 | 4 | C | MULTIVITAMIN | VITAMINS | 1 | 0 | ||||||||||||
| 127069041 | 12706904 | 5 | C | VITAMIN D | CHOLECALCIFEROL | 1 | 0 | ||||||||||||
| 127069041 | 12706904 | 6 | C | LORATADINE. | LORATADINE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127069041 | 12706904 | 1 | Multiple sclerosis |
| 127069041 | 12706904 | 2 | Gait disturbance |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127069041 | 12706904 | Injection site pruritus | |
| 127069041 | 12706904 | Insomnia | |
| 127069041 | 12706904 | Pruritus |
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 |
|---|---|---|---|---|---|---|
| 127069041 | 12706904 | 2 | 2011 | 0 | ||
| 127069041 | 12706904 | 3 | 2015 | 0 |