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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5051541 | 6011304 | F | 3 | 5051541-8 | 20060221 | 20060627 | 20060711 | EXP | US-2006-003953 | BERLEX INC. | 28 | YR | F | N | 20060710 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5051541 | 1007468016 | PS | BETASERON | 1 | SUBCUTANEOUS | 0.25 MI, EVERY 2D, SUBCUTANEOUS; SEE IMAGINE | U | N | |||
| 5051541 | 1007497281 | SS | BETASERON | 1 | SUBCUTANEOUS | 20 MG, 1X/DAY; SUBCUTANEOUS | D | D | |||
| 5051541 | 1007497282 | C | EFFEXOR XR | 1 | |||||||
| 5051541 | 1007497283 | C | IBUPROFEN | 1 | |||||||
| 5051541 | 1007497284 | C | NORTRIPTYLINE HCL | 1 | |||||||
| 5051541 | 1007497286 | C | TRAZODONE HCL | 1 | |||||||
| 5051541 | 1007497287 | C | MIRTAZAPINE | 1 | |||||||
| 5051541 | 1007497288 | C | HYDROCORTISONE CREAM, 1% | 2 | |||||||
| 5051541 | 1007497289 | C | LORAZEPAM | 1 | |||||||
| 5051541 | 1007497290 | C | AMBIEN | 1 | |||||||
| 5051541 | 1007497291 | C | ACETAMINOPHEN | 1 | |||||||
| 5051541 | 1007497292 | C | ORTHO TRI-CYCLEN LO (NORGESTIMATE) | 2 | |||||||
| 5051541 | 1007497293 | C | AMITRIPTYLINE HCL | 1 | |||||||
| 5051541 | 1007497294 | C | VICODIN | 1 | |||||||
| 5051541 | 1007497295 | C | AMOCIXILLIN | 2 | |||||||
| 5051541 | 1007497296 | C | MEDROL | 1 | |||||||
| 5051541 | 1007497297 | C | CEPHALEXIN | 1 | |||||||
| 5051541 | 1007497298 | C | EFEXOR XR (VENLAFAXINE) | 2 | |||||||
| 5051541 | 1008036449 | SS | COPAXONE | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5051541 | 1007468016 | RELAPSING-REMITTING MULTIPLE SCLEROSIS |
| 5051541 | 1007497281 | RELAPSING-REMITTING MULTIPLE SCLEROSIS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5051541 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 5051541 | AFFECTIVE DISORDER |
| 5051541 | ALCOHOL USE |
| 5051541 | ANXIETY |
| 5051541 | CONDITION AGGRAVATED |
| 5051541 | DEPRESSION |
| 5051541 | DRUG ABUSER |
| 5051541 | HALLUCINATION, VISUAL |
| 5051541 | HYPERTENSION |
| 5051541 | MULTIPLE SCLEROSIS |
| 5051541 | PARANOIA |
| 5051541 | TRANSAMINASES INCREASED |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5051541 | HP |
| 5051541 | SDY |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5051541 | 1007468016 | 20050513 | 20050525 | ||
| 5051541 | 1007468016 | 20050527 | 20050608 | ||
| 5051541 | 1007468016 | 20050610 | 20050701 | ||
| 5051541 | 1007468016 | 20050701 | 20060201 | ||
| 5051541 | 1007468016 | 20060323 | 20060331 | ||
| 5051541 | 1007468016 | 20060401 | |||
| 5051541 | 1007497281 | 20040923 | 20050414 |