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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6253696 | 7047621 | I | 6253696-6 | 20070701 | 20090617 | 20090630 | EXP | 236766K09USA | EMD SERONO, INC. | 59 | YR | F | N | 59 | KG | 20090626 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6253696 | 1011826823 | PS | REBIF | 1 | SUBCUTANEOUS | 44 MCG, 3 IN 1 WEEKS, SUBCUTANEOUS | D | D | |||
| 6253696 | 1011872358 | C | BENICAR /HYDROCHLOROTHIAZIDE (BENICAR HCT) | 2 | |||||||
| 6253696 | 1011872359 | C | METOPROLOL (METOPROLOL /00376901/) | 2 | |||||||
| 6253696 | 1011872360 | C | TYLENOL | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6253696 | 1011826823 | MULTIPLE SCLEROSIS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6253696 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 6253696 | HYPERSENSITIVITY |
| 6253696 | MALIGNANT MELANOMA IN SITU |
| 6253696 | OPEN WOUND |
| 6253696 | SUTURE RELATED COMPLICATION |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 6253696 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 6253696 | 1011826823 | 20030811 |