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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6253697 | 7049125 | I | 6253697-8 | 20090612 | 20090617 | 20090630 | EXP | 236770K09USA | EMD SERONO, INC. | 37 | YR | F | N | 117 | KG | 20090625 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6253697 | 1011826824 | PS | REBIF | 1 | SUBCUTANEOUS | 44 MCG, 3 IN 1 WEEKS, SUBCUTANEOUS | D | D |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6253697 | 1011826824 | MULTIPLE SCLEROSIS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6253697 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 6253697 | DIABETES MELLITUS |
| 6253697 | HEPATIC ENZYME INCREASED |
| 6253697 | PYREXIA |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 6253697 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 6253697 | 1011826824 | 20090507 |