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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4627348 | 5770945 | F | 1 | 4627348-X | 20040701 | 20050318 | 20050331 | EXP | 430005M05DEU | SERONO INC. | 47 | YR | F | N | 65 | KG | 20050330 |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4627348 | 1005848168 | PS | NOVANTRONE | 1 | , 11 CYCLE, | D | D | 19297 | |||
| 4627348 | 1005871492 | C | REBIF | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4627348 | 1005848168 | SECONDARY PROGRESSIVE MULTIPLE SCLEROSIS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4627348 | OT |
| 4627348 | RI |
Reactions reported
| Event ID | PT |
|---|---|
| 4627348 | ACUTE PROMYELOCYTIC LEUKAEMIA |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4627348 | FGN |
| 4627348 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4627348 | 1005848168 | 20010301 | 20030601 |