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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127875621 | 12787562 | 1 | I | 20160902 | 0 | 20160928 | 20160928 | DIR | FDA-CTU | 58.00 | YR | F | N | 0.00000 | 20160927 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127875621 | 12787562 | 1 | PS | AMPYRA | DALFAMPRIDINE | 1 | Oral | D | D | VBZ5 | 20181031 | 0 | 10 | MG | Q12H | ||||
| 127875621 | 12787562 | 2 | C | GILENYA | FINGOLIMOD HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 127875621 | 12787562 | 3 | C | WARFARIN | WARFARIN | 1 | 0 | ||||||||||||
| 127875621 | 12787562 | 4 | C | PERCOCET | ACETAMINOPHENOXYCODONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 127875621 | 12787562 | 5 | C | PROVIGIL | MODAFINIL | 1 | 0 | ||||||||||||
| 127875621 | 12787562 | 6 | C | DURAGESIC | FENTANYL | 1 | 0 | ||||||||||||
| 127875621 | 12787562 | 7 | C | KLONIPIN | CLONAZEPAM | 1 | 0 | ||||||||||||
| 127875621 | 12787562 | 8 | C | DITROPAN | OXYBUTYNIN CHLORIDE | 1 | 0 | ||||||||||||
| 127875621 | 12787562 | 9 | C | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | 0 | ||||||||||||
| 127875621 | 12787562 | 10 | C | TYLENOL | ACETAMINOPHEN | 1 | 0 | ||||||||||||
| 127875621 | 12787562 | 11 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | 0 | ||||||||||||
| 127875621 | 12787562 | 12 | C | VITAMIN A | VITAMIN A | 1 | 0 | ||||||||||||
| 127875621 | 12787562 | 13 | C | VITAMIN B-3 | 2 | 0 | |||||||||||||
| 127875621 | 12787562 | 14 | C | FOLIC ACID. | FOLIC ACID | 1 | 0 | ||||||||||||
| 127875621 | 12787562 | 15 | C | CHOLECALCIFEROL | CHOLECALCIFEROL | 1 | 0 | ||||||||||||
| 127875621 | 12787562 | 16 | C | VITAMIN D | CHOLECALCIFEROL | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127875621 | 12787562 | 1 | Multiple sclerosis |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127875621 | 12787562 | Laboratory test abnormal |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 127875621 | 12787562 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 127875621 | 12787562 | 1 | 201202 | 0 |