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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 94316242 | 9431624 | 2 | F | 201307 | 20130802 | 20130731 | 20130816 | EXP | US-BIOGENIDEC-2013BI067392 | BIOGEN | 64.32 | YR | M | Y | 65.00000 | KG | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 94316242 | 9431624 | 1 | PS | TECFIDERA | 1 | ORAL | D | 204063 | 120 | MG | CAPSULE | BID | |||||||
| 94316242 | 9431624 | 2 | C | DOCUSATE | 1 | D | 0 | 100 | MG | ||||||||||
| 94316242 | 9431624 | 3 | C | VITAMIN D | 1 | D | 0 | ||||||||||||
| 94316242 | 9431624 | 4 | C | LISINOPRIL | 1 | D | 0 | 20 | MG | ||||||||||
| 94316242 | 9431624 | 5 | C | PANTOPRAZOLE | 1 | D | 0 | 20 | MG | ||||||||||
| 94316242 | 9431624 | 6 | C | SIMVASTATIN | 1 | D | 0 | 10 | MG | ||||||||||
| 94316242 | 9431624 | 7 | C | BABY ASPIRIN | 1 | D | 0 | 81 | MG | ||||||||||
| 94316242 | 9431624 | 8 | C | LUNESTA | 1 | D | 0 | 1 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 94316242 | 9431624 | 1 | Product used for unknown indication |
| 94316242 | 9431624 | 2 | Product used for unknown indication |
| 94316242 | 9431624 | 3 | Product used for unknown indication |
| 94316242 | 9431624 | 4 | Product used for unknown indication |
| 94316242 | 9431624 | 5 | Product used for unknown indication |
| 94316242 | 9431624 | 6 | Product used for unknown indication |
| 94316242 | 9431624 | 7 | Product used for unknown indication |
| 94316242 | 9431624 | 8 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 94316242 | 9431624 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 94316242 | 9431624 | Hospice care | |
| 94316242 | 9431624 | Multiple sclerosis relapse |
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 |
|---|---|---|---|---|---|---|
| 94316242 | 9431624 | 1 | 201307 | 0 |