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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121267693 | 12126769 | 3 | F | 2015 | 20160826 | 20160229 | 20160902 | EXP | US-BIOGEN-2015BI156357 | BIOGEN | 0.00 | M | Y | 74.91000 | KG | 20160902 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121267693 | 12126769 | 1 | PS | TYSABRI | NATALIZUMAB | 1 | Intravenous (not otherwise specified) | 125104 | 300 | MG | CONCENTRATE FOR SOLUTION FOR INFUSION | ||||||||
| 121267693 | 12126769 | 2 | C | AMPYRA | DALFAMPRIDINE | 1 | Unknown | 0 | 10 | MG | UNKNOWN | BID | |||||||
| 121267693 | 12126769 | 3 | C | atorvastatin | ATORVASTATIN | 1 | Unknown | 0 | 40 | MG | UNKNOWN | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121267693 | 12126769 | 1 | Multiple sclerosis |
| 121267693 | 12126769 | 2 | Multiple sclerosis |
| 121267693 | 12126769 | 3 | Blood cholesterol increased |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 121267693 | 12126769 | OT |
| 121267693 | 12126769 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121267693 | 12126769 | Appendicitis perforated | |
| 121267693 | 12126769 | Fall | |
| 121267693 | 12126769 | Non-small cell lung cancer | |
| 121267693 | 12126769 | Pneumonia |
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 |
|---|---|---|---|---|---|---|
| 121267693 | 12126769 | 1 | 20070807 | 20151020 | 0 |