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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120479564 | 12047956 | 4 | F | 2014 | 20160808 | 20160208 | 20160816 | EXP | BR-BIOGEN-2016BI00186317 | BIOGEN | 45.04 | YR | M | Y | 0.00000 | 20160816 | PH | BR | BR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120479564 | 12047956 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | 103628 | 30 | UG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | /wk | |||||||
| 120479564 | 12047956 | 2 | C | Enalapril | ENALAPRIL | 1 | Unknown | 0 | 10 | MG | UNKNOWN | ||||||||
| 120479564 | 12047956 | 3 | C | HYDROCHLOROTHIAZIDE. | HYDROCHLOROTHIAZIDE | 1 | Unknown | 0 | 25 | MG | UNKNOWN | ||||||||
| 120479564 | 12047956 | 4 | C | Betadine (dicloridrato betaistina) | 2 | Unknown | 0 | UNKNOWN | |||||||||||
| 120479564 | 12047956 | 5 | C | Esomeprazole | ESOMEPRAZOLE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 120479564 | 12047956 | 6 | C | PAROXETINE HYDROCHLORIDE. | PAROXETINE HYDROCHLORIDE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 120479564 | 12047956 | 7 | C | LYRICA | PREGABALIN | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 120479564 | 12047956 | 8 | C | RIVOTRIL | CLONAZEPAM | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 120479564 | 12047956 | 9 | C | Hydrochloride and hydrochlorothiazide (NOS) | 2 | Unknown | 0 | UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 120479564 | 12047956 | 1 | Multiple sclerosis |
| 120479564 | 12047956 | 2 | Hypertension |
| 120479564 | 12047956 | 3 | Hypertension |
| 120479564 | 12047956 | 4 | Depression |
| 120479564 | 12047956 | 5 | Gastritis |
| 120479564 | 12047956 | 6 | Depression |
| 120479564 | 12047956 | 7 | Anxiety |
| 120479564 | 12047956 | 8 | Insomnia |
| 120479564 | 12047956 | 9 | Hypertension |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 120479564 | 12047956 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 120479564 | 12047956 | Agitation | |
| 120479564 | 12047956 | Anxiety | |
| 120479564 | 12047956 | Feeling cold | |
| 120479564 | 12047956 | Gastritis | |
| 120479564 | 12047956 | Headache | |
| 120479564 | 12047956 | Hepatic neoplasm | |
| 120479564 | 12047956 | Hypoacusis | |
| 120479564 | 12047956 | Multiple sclerosis | |
| 120479564 | 12047956 | Myalgia | |
| 120479564 | 12047956 | Nervousness | |
| 120479564 | 12047956 | Oesophagitis | |
| 120479564 | 12047956 | Paraesthesia | |
| 120479564 | 12047956 | Paranasal cyst | |
| 120479564 | 12047956 | Pyrexia |
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 |
|---|---|---|---|---|---|---|
| 120479564 | 12047956 | 1 | 20140813 | 0 |