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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122326942 | 12232694 | 2 | F | 20150916 | 20160810 | 20160401 | 20160815 | EXP | US-BIOGEN-2015BI128444 | BIOGEN | 52.18 | YR | F | Y | 56.30000 | KG | 20160815 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122326942 | 12232694 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | U | 103628 | UNKNOWN | /wk | ||||||||
| 122326942 | 12232694 | 2 | SS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | U | 103628 | 22.5 | UG | UNKNOWN | /wk | ||||||
| 122326942 | 12232694 | 3 | C | ALBUTEROL SULFATE. | ALBUTEROL SULFATE | 1 | Unknown | 2.5 MG/3 ML | 0 | NEBULISER SOLUTION | QID | ||||||||
| 122326942 | 12232694 | 4 | C | FOLIC ACID. | FOLIC ACID | 1 | Oral | 1-2 TABLETS A DAY | 0 | 1 | MG | TABLETS | |||||||
| 122326942 | 12232694 | 5 | C | MECLIZINE | MECLIZINE HYDROCHLORIDE | 1 | Unknown | 0 | 25 | MG | TABLETS | ||||||||
| 122326942 | 12232694 | 6 | C | MONTELUKAST | MONTELUKAST SODIUM | 1 | Oral | AT HS | 0 | 10 | MG | TABLETS | QD | ||||||
| 122326942 | 12232694 | 7 | C | SUMATRIPTAN. | SUMATRIPTAN | 1 | Oral | 0 | TABLETS |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 122326942 | 12232694 | 1 | Multiple sclerosis |
| 122326942 | 12232694 | 3 | Product used for unknown indication |
| 122326942 | 12232694 | 4 | Adverse drug reaction |
| 122326942 | 12232694 | 5 | Product used for unknown indication |
| 122326942 | 12232694 | 6 | Product used for unknown indication |
| 122326942 | 12232694 | 7 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 122326942 | 12232694 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 122326942 | 12232694 | Dementia | |
| 122326942 | 12232694 | Multiple sclerosis | |
| 122326942 | 12232694 | Pyrexia | |
| 122326942 | 12232694 | Seizure |
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 |
|---|---|---|---|---|---|---|
| 122326942 | 12232694 | 1 | 20150902 | 0 | ||
| 122326942 | 12232694 | 2 | 20150916 | 0 | ||
| 122326942 | 12232694 | 3 | 20150417 | 0 | ||
| 122326942 | 12232694 | 4 | 20150325 | 0 | ||
| 122326942 | 12232694 | 5 | 20151128 | 0 | ||
| 122326942 | 12232694 | 6 | 20151102 | 0 | ||
| 122326942 | 12232694 | 7 | 20150721 | 0 |