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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120075193 | 12007519 | 3 | F | 20160805 | 20160204 | 20160817 | EXP | US-EMD SERONO-8065443 | EMD SERONO INC | 0.00 | F | Y | 0.00000 | 20160817 | PH | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120075193 | 12007519 | 1 | PS | REBIF | INTERFERON BETA-1A | 1 | Subcutaneous | U | 103780 | 44 | UG | INJECTION | TIW | ||||||
| 120075193 | 12007519 | 2 | SS | REBIF | INTERFERON BETA-1A | 1 | U | 103780 | INJECTION | ||||||||||
| 120075193 | 12007519 | 3 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | 0 | ||||||||||||
| 120075193 | 12007519 | 4 | C | ATORVASTATIN CALCIUM. | ATORVASTATIN CALCIUM | 1 | 0 | ||||||||||||
| 120075193 | 12007519 | 5 | C | METOPROLOL TARTRATE. | METOPROLOL TARTRATE | 1 | 0 | ||||||||||||
| 120075193 | 12007519 | 6 | C | PROZAC | FLUOXETINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 120075193 | 12007519 | 7 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 120075193 | 12007519 | 1 | Multiple sclerosis |
| 120075193 | 12007519 | 3 | Product used for unknown indication |
| 120075193 | 12007519 | 4 | Product used for unknown indication |
| 120075193 | 12007519 | 5 | Product used for unknown indication |
| 120075193 | 12007519 | 6 | Product used for unknown indication |
| 120075193 | 12007519 | 7 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 120075193 | 12007519 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 120075193 | 12007519 | Asthenia | |
| 120075193 | 12007519 | Injection site bruising | |
| 120075193 | 12007519 | Injection site pain | |
| 120075193 | 12007519 | Optic nerve injury |
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 |
|---|---|---|---|---|---|---|
| 120075193 | 12007519 | 1 | 20140918 | 0 | ||
| 120075193 | 12007519 | 2 | 20151207 | 20151218 | 0 |