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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120746704 | 12074670 | 4 | F | 2011 | 20160621 | 20160212 | 20160711 | EXP | GB-BIOGEN-2016BI00186432 | BIOGEN | 0.00 | F | Y | 0.00000 | 20160711 | MD | GB | GB |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120746704 | 12074670 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | U | 103628 | 30 | UG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | /wk | ||||||
| 120746704 | 12074670 | 2 | C | NAPROXEN. | NAPROXEN | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 120746704 | 12074670 | 3 | C | TRAMADOL. | TRAMADOL | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 120746704 | 12074670 | 4 | C | DIAZEPAM. | DIAZEPAM | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 120746704 | 12074670 | 5 | C | Zopiclone | ZOPICLONE | 1 | Unknown | 0 | UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 120746704 | 12074670 | 1 | Multiple sclerosis |
| 120746704 | 12074670 | 2 | Product used for unknown indication |
| 120746704 | 12074670 | 3 | Product used for unknown indication |
| 120746704 | 12074670 | 4 | Product used for unknown indication |
| 120746704 | 12074670 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 120746704 | 12074670 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 120746704 | 12074670 | Drug dose omission | |
| 120746704 | 12074670 | Feeling abnormal | |
| 120746704 | 12074670 | Influenza | |
| 120746704 | 12074670 | Malaise | |
| 120746704 | 12074670 | Musculoskeletal pain | |
| 120746704 | 12074670 | Procedural anxiety | |
| 120746704 | 12074670 | Rotator cuff syndrome |
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 |
|---|---|---|---|---|---|---|
| 120746704 | 12074670 | 1 | 20101001 | 0 |