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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4871966 | 5959077 | I | 4871966-0 | 20051031 | 20051221 | 20051230 | EXP | 2005BI022500 | BIOGEN IDEC INC. | 61 | YR | F | N | 20051229 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
4871966 | 1006786244 | PS | AVONEX | 1 | INTRAMUSCULAR | 30 UG;QW;IM | D | D |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
4871966 | 1006786244 | MULTIPLE SCLEROSIS |
Outcome of event
Event ID | OUTC COD |
---|---|
4871966 | HO |
Reactions reported
Event ID | PT |
---|---|
4871966 | MULTIPLE SCLEROSIS |
4871966 | PARAPLEGIA |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | RPSR COD |
---|---|
4871966 | CSM |
4871966 | SDY |
Therapies reported
Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|
4871966 | 1006786244 | 20040616 |