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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
120902563 | 12090256 | 3 | F | 201601 | 20160722 | 20160218 | 20160727 | EXP | US-BAYER-2016-028866 | BAYER | 55.00 | YR | A | F | Y | 0.00000 | 20160727 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
120902563 | 12090256 | 1 | PS | BETASERON | INTERFERON BETA-1B | 1 | Subcutaneous | 0.3 MG, QOD | 51023A | 103471 | .3 | MG | POWDER AND SOLVENT FOR SOLUTION FOR INJECTION | QOD | |||||
120902563 | 12090256 | 2 | SS | BETASERON | INTERFERON BETA-1B | 1 | Subcutaneous | 0.3 MG, QOD | 52144A | 103471 | .3 | MG | POWDER AND SOLVENT FOR SOLUTION FOR INJECTION | QOD | |||||
120902563 | 12090256 | 3 | SS | BETASERON | INTERFERON BETA-1B | 1 | Subcutaneous | 0.3 UNK, UNK | 52199A | 103471 | .3 | MG | POWDER AND SOLVENT FOR SOLUTION FOR INJECTION | QOD |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
120902563 | 12090256 | 1 | Multiple sclerosis |
120902563 | 12090256 | 2 | Multiple sclerosis |
120902563 | 12090256 | 3 | Multiple sclerosis |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
120902563 | 12090256 | OT |
120902563 | 12090256 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
120902563 | 12090256 | Colitis ischaemic | |
120902563 | 12090256 | Drug dose omission | |
120902563 | 12090256 | Fatigue | |
120902563 | 12090256 | Gastrointestinal haemorrhage | |
120902563 | 12090256 | Injection site reaction | |
120902563 | 12090256 | Pain |
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 |
---|---|---|---|---|---|---|
120902563 | 12090256 | 1 | 2014 | 0 |