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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 118855332 | 11885533 | 2 | F | 20151203 | 20160915 | 20160104 | 20160928 | PER | US-BIOGEN-2015BI00164334 | BIOGEN | 32.13 | YR | F | Y | 0.00000 | 20160928 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 118855332 | 11885533 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Unknown | Y | 103628 | UNKNOWN | |||||||||
| 118855332 | 11885533 | 2 | SS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | Y | 103628 | 30 | UG | UNKNOWN | /wk | ||||||
| 118855332 | 11885533 | 3 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 118855332 | 11885533 | 4 | C | NORTRIPTYLINE | NORTRIPTYLINE | 1 | Unknown | 0 | UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 118855332 | 11885533 | 1 | Multiple sclerosis |
| 118855332 | 11885533 | 3 | Product used for unknown indication |
| 118855332 | 11885533 | 4 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 118855332 | 11885533 | General symptom | |
| 118855332 | 11885533 | Headache | |
| 118855332 | 11885533 | Multiple sclerosis relapse | |
| 118855332 | 11885533 | Treatment failure |
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 |
|---|---|---|---|---|---|---|
| 118855332 | 11885533 | 1 | 20150417 | 0 | ||
| 118855332 | 11885533 | 2 | 201503 | 20151201 | 0 |