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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4652537 | 5933098 | I | 4652537-8 | 20041216 | 20041221 | 20050408 | PER | 236127K04USA | SERONO INC. | 36 | YR | F | N | 20050331 | UNITED STATES |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|
4652537 | 1005943528 | PS | REBIF | 1 | SUBCUTANEOUS | 44 MCG, 3 IN 1 WEEKS, SUBCUTANEOUS | D | D |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
4652537 | 1005943528 | MULTIPLE SCLEROSIS |
Outcome of event
no results found |
Reactions reported
Event ID | PT |
---|---|
4652537 | CHEST PAIN |
4652537 | DYSPNOEA |
4652537 | EYE PAIN |
4652537 | FATIGUE |
4652537 | HEADACHE |
4652537 | INJECTION SITE ERYTHEMA |
4652537 | INJECTION SITE HAEMORRHAGE |
4652537 | INJECTION SITE REACTION |
4652537 | PAIN |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | RPSR COD |
---|---|
4652537 | CSM |
Therapies reported
Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|
4652537 | 1005943528 | 20041215 |