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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6737815 | 7401196 | I | 6737815-0 | 20100506 | 20100507 | 20100520 | EXP | 7004194 | USA-EMD SERONO,INC. | 38 | YR | M | N | 20100514 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6737815 | 1013737421 | PS | REBIF | 1 | SUBCUTANEOUS | 44 MCG, 3 IN 1 WK, SUBCUTANEOUS | D | D |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6737815 | 1013737421 | DRUG USE FOR UNKNOWN INDICATION |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6737815 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 6737815 | BACK PAIN |
| 6737815 | BLOOD PRESSURE INCREASED |
| 6737815 | FEELING COLD |
| 6737815 | HEADACHE |
| 6737815 | INFLUENZA LIKE ILLNESS |
| 6737815 | INJECTION SITE REACTION |
| 6737815 | SPINAL DISORDER |
| 6737815 | TREMOR |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 6737815 | CSM |
| 6737815 | DT |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 6737815 | 1013737421 | 20080630 |