Person who experienced the adverse event (patient)
| Event ID | CASE | I F COD | FOLL SEQ | IMAGE | EVENT DT | MFR DT | FDA DT | REPT COD | MFR NUM | MFR SNDR | AGE | AGE COD | GNDR COD | E SUB | WT | WT COD | REPT DT | OCCP COD | DEATH DT | TO MFR | CONFID | REPORTER COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4303666 | 3931013 | F | 2 | 4303666-X | 20030101 | 20040206 | 20040223 | EXP | 171018 | BIOGEN IDEC | 79 | YR | F | N | 145 | LBS | 20040220 | CN |
Drug(s) used by person
| Event ID | DRUG SEQ | ROLE COD | DRUGNAME | VAL VBM | ROUTE | DOSE VBM | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4303666 | 1004650055 | PS | AVONEX | 1 | INTRAMUSCULAR | 30 MCG QW IM | D | D | |||
| 4303666 | 1004674853 | SS | AVONEX | 1 | INTRAMUSCULAR | 30 MCG QW IM | D | D | |||
| 4303666 | 1004674855 | C | UNKNOWN ASTHMA MEDICATION | 2 | |||||||
| 4303666 | 1004674856 | C | UNKNOWN BRONCHITIS MEDICATION | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4303666 | 1004650055 | MULTIPLE SCLEROSIS |
| 4303666 | 1004674853 | MULTIPLE SCLEROSIS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4303666 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4303666 | BREAST CANCER |
| 4303666 | EPSTEIN-BARR VIRUS INFECTION |
| 4303666 | METASTASES TO BONE |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4303666 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4303666 | 1004650055 | 20011227 | 20030101 | ||
| 4303666 | 1004674853 | 20030101 |