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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127654911 | 12765491 | 1 | I | 20160815 | 0 | 20160917 | 20160917 | DIR | FDA-CTU | 55.00 | YR | F | N | 0.00000 | 20160916 | Y | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127654911 | 12765491 | 1 | PS | AMPYRA | DALFAMPRIDINE | 1 | Oral | D | D | VBZS | 20181031 | 0 | 10 | MG | Q12H | ||||
| 127654911 | 12765491 | 3 | C | TRAZODONE | TRAZODONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 127654911 | 12765491 | 5 | C | ADVAIR DISKUS | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | 0 | ||||||||||||
| 127654911 | 12765491 | 7 | C | ESTRADIOL. | ESTRADIOL | 1 | 0 | ||||||||||||
| 127654911 | 12765491 | 9 | C | AMLODIPINE | AMLODIPINE BESYLATE | 1 | 0 | ||||||||||||
| 127654911 | 12765491 | 11 | C | FLONASE | FLUTICASONE PROPIONATE | 1 | 0 | ||||||||||||
| 127654911 | 12765491 | 13 | C | KLOR-CON | POTASSIUM CHLORIDE | 1 | 0 | ||||||||||||
| 127654911 | 12765491 | 15 | C | DIAZEPAM. | DIAZEPAM | 1 | 0 | ||||||||||||
| 127654911 | 12765491 | 17 | C | MOTRIN | IBUPROFEN | 1 | 0 | ||||||||||||
| 127654911 | 12765491 | 19 | C | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 127654911 | 12765491 | 21 | C | SEREVENT DISKUS | SALMETEROL XINAFOATE | 1 | 0 | ||||||||||||
| 127654911 | 12765491 | 23 | C | QVAR | BECLOMETHASONE DIPROPIONATE | 1 | 0 | ||||||||||||
| 127654911 | 12765491 | 25 | C | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | 0 | ||||||||||||
| 127654911 | 12765491 | 27 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127654911 | 12765491 | 1 | Multiple sclerosis |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127654911 | 12765491 | Laboratory test abnormal |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 127654911 | 12765491 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 127654911 | 12765491 | 1 | 201101 | 0 |