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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5472352 | 6431117 | F | 5472352-5 | 20070101 | 20070919 | 20070930 | EXP | US-SHR-US-2007-023206 | BERLEX | 49 | YR | M | Y | 20070928 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5472352 | 1008989649 | PS | BETASERON | 1 | SUBCUTANEOUS | 8 MIU, EVERY 2D | WA6215A | ||||
| 5472352 | 1008989650 | C | ARICEPT | 1 | |||||||
| 5472352 | 1008989651 | C | BACLOFEN | 1 | |||||||
| 5472352 | 1008989652 | C | PAXIL | 1 | |||||||
| 5472352 | 1008989653 | C | ULTRAM | 1 | |||||||
| 5472352 | 1008989654 | C | ATIVAN | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5472352 | 1008989649 | MULTIPLE SCLEROSIS |
| 5472352 | 1008989652 | DEPRESSION |
| 5472352 | 1008989653 | PAIN |
| 5472352 | 1008989654 | ANXIETY |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5472352 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 5472352 | HEPATIC CIRRHOSIS |
| 5472352 | INTERVERTEBRAL DISC PROTRUSION |
| 5472352 | MULTIPLE SCLEROSIS |
| 5472352 | POLYPECTOMY |
| 5472352 | UMBILICAL HERNIA |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5472352 | 1008989649 | 20030314 | 20070819 | 1619 | DAY |