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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 118633512 | 11863351 | 2 | F | 20160729 | 20151223 | 20160803 | PER | US-BIOGEN-2015BI00162318 | BIOGEN | 0.00 | F | Y | 0.00000 | 20160803 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 118633512 | 11863351 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | Y | 103628 | 30 | UG | SOLN FOR INJECT IN PRE-FILLED SYRINGE | /wk | ||||||
| 118633512 | 11863351 | 2 | SS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | Y | 103628 | 30 | UG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | /wk | ||||||
| 118633512 | 11863351 | 3 | SS | AVONEX | INTERFERON BETA-1A | 1 | Unknown | Y | 103628 | UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 118633512 | 11863351 | 1 | Multiple sclerosis |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 118633512 | 11863351 | Anxiety | |
| 118633512 | 11863351 | Blood cholesterol increased | |
| 118633512 | 11863351 | Cataract | |
| 118633512 | 11863351 | Cognitive disorder | |
| 118633512 | 11863351 | Depression | |
| 118633512 | 11863351 | Urticaria |
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 |
|---|---|---|---|---|---|---|
| 118633512 | 11863351 | 1 | 20040319 | 0 | ||
| 118633512 | 11863351 | 2 | 20130613 | 0 | ||
| 118633512 | 11863351 | 3 | 20040319 | 20130613 | 0 |