Person who experienced the adverse event (patient)
| Event ID | CASEID | CASEVERSION | I F COD | EVENT DT | MFR DT | INIT FDA DT | FDA DT | REPT COD | AUTH NUM | MFR NUM | MFR SNDR | LIT REF | AGE | AGE COD | AGE GRP | GNDR COD | E SUB | WT | WT COD | REPT DT | TO MFR | OCCP COD | REPORTER COUNTRY | OCCR COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 94316152 | 9431615 | 2 | F | 20120122 | 20130807 | 20130731 | 20130816 | EXP | US-BIOGENIDEC-2013BI067935 | BIOGEN | 42.00 | YR | F | Y | 0.00000 | 20130816 | MD | US | US |
Drug(s) used by person
| Event ID | CASEID | DRUG SEQ | ROLE COD | DRUGNAME | PROD AI | VAL VBM | ROUTE | DOSE VBM | CUM DOSE CHR | CUM DOSE UNIT | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM | DOSE AMT | DOSE UNIT | DOSE FORM | DOSE FREQ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 94316152 | 9431615 | 1 | PS | AVONEX | 1 | INTRAMUSCULAR | D | 103628 | 30 | UG | /wk | ||||||||
| 94316152 | 9431615 | 2 | SS | AVONEX | 1 | INTRAMUSCULAR | D | 103628 | 30 | UG | SOLUTION FOR INJECTION | /wk | |||||||
| 94316152 | 9431615 | 3 | SS | AVONEX | 1 | INTRAMUSCULAR | D | 103628 | 30 | UG | /wk |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 94316152 | 9431615 | 1 | Multiple sclerosis |
| 94316152 | 9431615 | 2 | Multiple sclerosis |
| 94316152 | 9431615 | 3 | Multiple sclerosis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 94316152 | 9431615 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 94316152 | 9431615 | Gastric bypass | |
| 94316152 | 9431615 | General symptom | |
| 94316152 | 9431615 | Influenza like illness | |
| 94316152 | 9431615 | Stress |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 94316152 | 9431615 | 1 | 19970801 | 0 | ||
| 94316152 | 9431615 | 2 | 20090729 | 20110111 | 0 | |
| 94316152 | 9431615 | 3 | 20120122 | 20120203 | 0 |