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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122693562 | 12269356 | 2 | F | 20031222 | 20160624 | 20160414 | 20160701 | EXP | US-BIOGEN-2009BI033505 | BIOGEN | 48.11 | YR | F | Y | 0.00000 | 20160701 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122693562 | 12269356 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | 103628 | 30 | UG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | /wk | |||||||
| 122693562 | 12269356 | 2 | SS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | 103628 | 30 | UG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | /wk | |||||||
| 122693562 | 12269356 | 3 | SS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | 103628 | 30 | UG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | /wk | |||||||
| 122693562 | 12269356 | 4 | SS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | 103628 | 30 | UG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | /wk | |||||||
| 122693562 | 12269356 | 5 | C | EFFEXOR XR | VENLAFAXINE HYDROCHLORIDE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 122693562 | 12269356 | 6 | C | Catapres TTS 1 | 2 | Unknown | 0 | UNKNOWN | |||||||||||
| 122693562 | 12269356 | 7 | C | NEURONTIN | GABAPENTIN | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 122693562 | 12269356 | 8 | C | AMBIEN | ZOLPIDEM TARTRATE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 122693562 | 12269356 | 9 | C | ALEVE | NAPROXEN SODIUM | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 122693562 | 12269356 | 10 | C | Calcium D | CALCIUMVITAMIN D | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 122693562 | 12269356 | 11 | C | MIRALAX | POLYETHYLENE GLYCOL 3350 | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 122693562 | 12269356 | 12 | C | NORCO | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 122693562 | 12269356 | 13 | C | LOSARTAN. | LOSARTAN | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 122693562 | 12269356 | 14 | C | FEMARA | LETROZOLE | 1 | Unknown | 0 | UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 122693562 | 12269356 | 1 | Multiple sclerosis |
| 122693562 | 12269356 | 5 | Product used for unknown indication |
| 122693562 | 12269356 | 6 | Product used for unknown indication |
| 122693562 | 12269356 | 7 | Product used for unknown indication |
| 122693562 | 12269356 | 8 | Product used for unknown indication |
| 122693562 | 12269356 | 9 | Product used for unknown indication |
| 122693562 | 12269356 | 10 | Product used for unknown indication |
| 122693562 | 12269356 | 11 | Product used for unknown indication |
| 122693562 | 12269356 | 12 | Product used for unknown indication |
| 122693562 | 12269356 | 13 | Product used for unknown indication |
| 122693562 | 12269356 | 14 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 122693562 | 12269356 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 122693562 | 12269356 | Cataract | |
| 122693562 | 12269356 | Headache | |
| 122693562 | 12269356 | Invasive ductal breast carcinoma |
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 |
|---|---|---|---|---|---|---|
| 122693562 | 12269356 | 1 | 20020611 | 0 | ||
| 122693562 | 12269356 | 2 | 20090410 | 0 | ||
| 122693562 | 12269356 | 3 | 20090702 | 0 | ||
| 122693562 | 12269356 | 4 | 20130310 | 0 |