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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127989421 | 12798942 | 1 | I | 0 | 20160930 | 20160930 | DIR | FDA-CTU | 0.00 | F | N | 0.00000 | 20160930 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127989421 | 12798942 | 1 | PS | BETASERON | INTERFERON BETA-1B | 1 | Subcutaneous | DATES OF USE [YEARS] | D | Y | 0 | 0.35 | MG | QOD | |||||
| 127989421 | 12798942 | 3 | C | TOPAMAX | TOPIRAMATE | 1 | 0 | ||||||||||||
| 127989421 | 12798942 | 5 | C | AMITIZA | LUBIPROSTONE | 1 | 0 | ||||||||||||
| 127989421 | 12798942 | 7 | C | TOVIAZ | FESOTERODINE FUMARATE | 1 | 0 | ||||||||||||
| 127989421 | 12798942 | 9 | C | GABAPENTIN. | GABAPENTIN | 1 | 0 | ||||||||||||
| 127989421 | 12798942 | 11 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | 0 | ||||||||||||
| 127989421 | 12798942 | 13 | C | DOXAZOSIN | DOXAZOSINDOXAZOSIN MESYLATE | 1 | 0 | ||||||||||||
| 127989421 | 12798942 | 15 | C | SIMVASTATIN. | SIMVASTATIN | 1 | 0 | ||||||||||||
| 127989421 | 12798942 | 17 | C | TRAZODONE | TRAZODONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 127989421 | 12798942 | 19 | C | MYRBETRIQ ER | 2 | 0 | |||||||||||||
| 127989421 | 12798942 | 21 | C | DOXYCYCLINE HYCLATE. | DOXYCYCLINE HYCLATE | 1 | 0 | ||||||||||||
| 127989421 | 12798942 | 23 | C | FLUOXETINE | FLUOXETINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 127989421 | 12798942 | 25 | C | BACLOFEN. | BACLOFEN | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127989421 | 12798942 | 1 | Multiple sclerosis |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127989421 | 12798942 | Pyrexia |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 127989421 | 12798942 | HP |
Therapies reported
| no results found |