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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6255598 | 6735804 | F | 3 | 6255598-8 | 20090101 | 20090618 | 20090701 | EXP | 237135J08USA | EMD SERONO, INC. | 44 | YR | F | N | 20090622 | OT | 20090606 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6255598 | 1011834735 | PS | REBIF | 1 | SUBCUTANEOUS | 44 MCG, 3 IN 1 WEEKS, SUBCUTANEOUS | D | D | |||
| 6255598 | 1011872510 | SS | CHEMOTHERAPY (OTHER CHEMOTHERAPEUTICS) | 2 | N | D | |||||
| 6255598 | 1011872511 | C | MAXZIDE | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6255598 | 1011834735 | MULTIPLE SCLEROSIS |
| 6255598 | 1011872510 | COLON CANCER |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6255598 | DE |
| 6255598 | HO |
| 6255598 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 6255598 | BLOOD PRESSURE DECREASED |
| 6255598 | CHEST PAIN |
| 6255598 | COLON CANCER STAGE IV |
| 6255598 | DECREASED APPETITE |
| 6255598 | DEHYDRATION |
| 6255598 | DIALYSIS |
| 6255598 | GASTROOESOPHAGEAL REFLUX DISEASE |
| 6255598 | INSOMNIA |
| 6255598 | MALAISE |
| 6255598 | NAUSEA |
| 6255598 | PAIN |
| 6255598 | RENAL FAILURE ACUTE |
| 6255598 | URINARY TRACT INFECTION |
| 6255598 | UTERINE LEIOMYOMA |
| 6255598 | VOMITING |
| 6255598 | WOUND DEHISCENCE |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 6255598 | CSM |
| 6255598 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 6255598 | 1011834735 | 20061212 | 20090605 | ||
| 6255598 | 1011872510 | 20080716 | 20090501 |