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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127711991 | 12771199 | 1 | I | 20160916 | 0 | 20160921 | 20160921 | DIR | US-FDA-351252 | FDA-CTU | 52.07 | YR | F | N | 0.00000 | 20160921 | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127711991 | 12771199 | 1 | PS | GILENYA | FINGOLIMOD HYDROCHLORIDE | 1 | Oral | Y | D | F0038 | 20180228 | 0 | 0.5 | MG | QD | ||||
| 127711991 | 12771199 | 2 | SS | METHADONE | METHADONE HYDROCHLORIDE | 1 | Oral | Y | D | 0 | |||||||||
| 127711991 | 12771199 | 4 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | 0 | ||||||||||||
| 127711991 | 12771199 | 6 | C | AMBIEN | ZOLPIDEM TARTRATE | 1 | 0 | ||||||||||||
| 127711991 | 12771199 | 8 | C | AMITRIPTYLINE | AMITRIPTYLINE | 1 | 0 | ||||||||||||
| 127711991 | 12771199 | 10 | C | NASONEX | MOMETASONE FUROATE | 1 | 0 | ||||||||||||
| 127711991 | 12771199 | 12 | C | BACLOFEN. | BACLOFEN | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127711991 | 12771199 | 1 | Multiple sclerosis |
| 127711991 | 12771199 | 2 | Pain management |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127711991 | 12771199 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127711991 | 12771199 | Drug interaction | |
| 127711991 | 12771199 | Ventricular fibrillation |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 127711991 | 12771199 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 127711991 | 12771199 | 1 | 1 | YR | ||
| 127711991 | 12771199 | 2 | 20160913 | 20160916 | 0 |