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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100138092 | 10013809 | 2 | F | 201209 | 20140320 | 20140316 | 20140331 | EXP | BE-US-EMD SERONO, INC.-7274855 | EMD SERONO INC | 41.00 | YR | M | Y | 0.00000 | 20140331 | N | OT | BE | BE |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100138092 | 10013809 | 1 | PS | REBIF | 1 | D | 103780 | 22 | UG | INJECTION | TIW | ||||||||
| 100138092 | 10013809 | 2 | SS | REBIF | 1 | D | 103780 | 44 | UG | INJECTION | TIW | ||||||||
| 100138092 | 10013809 | 3 | SS | REBIF | 1 | D | 0 | 44 | UG | INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 100138092 | 10013809 | 1 | Multiple sclerosis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 100138092 | 10013809 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 100138092 | 10013809 | Injection site induration | |
| 100138092 | 10013809 | Intentional drug misuse | |
| 100138092 | 10013809 | Lack of injection site rotation | |
| 100138092 | 10013809 | Panniculitis |
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 |
|---|---|---|---|---|---|---|
| 100138092 | 10013809 | 1 | 20081002 | 201010 | 0 | |
| 100138092 | 10013809 | 2 | 201010 | 201209 | 0 | |
| 100138092 | 10013809 | 3 | 201209 | 20131123 | 0 |