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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 81651252 | 8165125 | 2 | F | 20110923 | 20131223 | 20111003 | 20131231 | PER | US-BIOGENIDEC-2011BI037051 | BIOGEN | 64.98 | YR | M | Y | 0.00000 | 20131231 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 81651252 | 8165125 | 1 | PS | AVONEX | 1 | INTRAMUSCULAR | D | 103628 | 30 | UG | POWDER FOR SOLUTION FOR INJECTION | /wk | |||||||
| 81651252 | 8165125 | 2 | SS | AVONEX | 1 | INTRAMUSCULAR | D | 103628 | 30 | UG | SOLUTION FOR INJECTION | /wk | |||||||
| 81651252 | 8165125 | 3 | C | AMPYRA | 1 | D | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 81651252 | 8165125 | 1 | Multiple sclerosis |
| 81651252 | 8165125 | 2 | Multiple sclerosis |
| 81651252 | 8165125 | 3 | Multiple sclerosis |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 81651252 | 8165125 | Balance disorder | |
| 81651252 | 8165125 | Dizziness | |
| 81651252 | 8165125 | Fall |
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 |
|---|---|---|---|---|---|---|
| 81651252 | 8165125 | 1 | 19991101 | 0 | ||
| 81651252 | 8165125 | 3 | 20110923 | 0 |