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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6552006 | 7573278 | I | 6552006-4 | 20100103 | 20100108 | 20100120 | EXP | 230008M10USA | EMD SERONO, INC. | 55 | YR | M | N | 20100112 | MD | 20100103 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6552006 | 1013001283 | PS | REBIF | 1 | SUBCUTANEOUS | 44 MCG, 3 IN 1 WEEKS, SUBCUTANEOUS | D | D | |||
| 6552006 | 1013060529 | C | GABAPENTIN | 1 | |||||||
| 6552006 | 1013060531 | C | BACLOFEN | 1 | |||||||
| 6552006 | 1013060533 | C | FLOMAX (MORNIFLUMATE) | 2 | |||||||
| 6552006 | 1013060534 | C | LEXAPRO | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6552006 | 1013001283 | MULTIPLE SCLEROSIS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6552006 | DE |
Reactions reported
| Event ID | PT |
|---|---|
| 6552006 | MYOCARDIAL INFARCTION |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 6552006 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 6552006 | 1013001283 | 20080107 | 20100103 |