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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121966803 | 12196680 | 3 | F | 20150911 | 20160809 | 20160321 | 20160815 | EXP | CO-BIOGEN-2015BI129805 | BIOGEN | 0.00 | A | F | Y | 64.00000 | KG | 20160815 | CN | CO | CO |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121966803 | 12196680 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | 150886A | 103628 | UNKNOWN | /wk | ||||||||
| 121966803 | 12196680 | 2 | SS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | 150886A | 103628 | UNKNOWN | /wk | ||||||||
| 121966803 | 12196680 | 3 | C | LYRICA | PREGABALIN | 1 | Unknown | 0 | UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121966803 | 12196680 | 1 | Product used for unknown indication |
| 121966803 | 12196680 | 3 | Pain |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 121966803 | 12196680 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121966803 | 12196680 | Arthralgia | |
| 121966803 | 12196680 | Chills | |
| 121966803 | 12196680 | Depression | |
| 121966803 | 12196680 | Headache | |
| 121966803 | 12196680 | Malaise | |
| 121966803 | 12196680 | Mobility decreased | |
| 121966803 | 12196680 | Neuromyelitis optica spectrum disorder | |
| 121966803 | 12196680 | Odynophagia | |
| 121966803 | 12196680 | Oral disorder | |
| 121966803 | 12196680 | Pyrexia | |
| 121966803 | 12196680 | Sensation of foreign body | |
| 121966803 | 12196680 | Sensory loss |
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 |
|---|---|---|---|---|---|---|
| 121966803 | 12196680 | 1 | 20160412 | 0 |