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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
123701904 | 12370190 | 4 | F | 2015 | 20160919 | 20160516 | 20160923 | EXP | US-BIOGEN-2016BI00237718 | BIOGEN | 0.00 | F | Y | 77.63000 | KG | 20160923 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
123701904 | 12370190 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | U | 103628 | 30 | UG | SOLN FOR INJECT IN PRE-FILLED SYRINGE | /wk | ||||||
123701904 | 12370190 | 2 | SS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | U | 103628 | 30 | UG | SOLN FOR INJECT IN PRE-FILLED SYRINGE | /wk | ||||||
123701904 | 12370190 | 3 | C | GILENYA | FINGOLIMOD HYDROCHLORIDE | 1 | Oral | FOR 30 DAYS | U | 0 | .5 | MG | CAPSULE | QD | |||||
123701904 | 12370190 | 4 | C | ALBUTEROL SULFATE. | ALBUTEROL SULFATE | 1 | Unknown | 0 | 90 | UG | AEROSOL FOR INHALATION | Q6H | |||||||
123701904 | 12370190 | 5 | C | BACLOFEN. | BACLOFEN | 1 | Oral | 0 | 10 | MG | TABLETS | ||||||||
123701904 | 12370190 | 6 | C | BACLOFEN. | BACLOFEN | 1 | Oral | PRN | 0 | 20 | MG | TABLETS | BID | ||||||
123701904 | 12370190 | 7 | C | LIDOCAINE. | LIDOCAINE | 1 | Topical | APPLY TO AFFECTED AREAS AS NEEDED | 0 | 5 | PCT | OINTMENT | TID | ||||||
123701904 | 12370190 | 8 | C | LYRICA | PREGABALIN | 1 | Oral | 0 | 150 | MG | CAPSULE | QOD | |||||||
123701904 | 12370190 | 9 | C | LYRICA | PREGABALIN | 1 | Oral | 0 | 200 | MG | CAPSULE | BID | |||||||
123701904 | 12370190 | 10 | C | NORCO | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | Oral | 7.5-325 MILLIGRAM | 0 | TABLETS | |||||||||
123701904 | 12370190 | 11 | C | nortriptyline | NORTRIPTYLINE | 1 | Oral | 0 | 25 | MG | CAPSULE | ||||||||
123701904 | 12370190 | 12 | C | FOLIC ACID. | FOLIC ACID | 1 | Oral | FOR 30 DAYS | 0 | 1 | MG | TABLETS | QD | ||||||
123701904 | 12370190 | 13 | C | MEDROL | METHYLPREDNISOLONE | 1 | Oral | TAKE AS DIRECTED | 0 | TABLETS |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
123701904 | 12370190 | 1 | Multiple sclerosis |
123701904 | 12370190 | 3 | Multiple sclerosis |
123701904 | 12370190 | 4 | Product used for unknown indication |
123701904 | 12370190 | 5 | Product used for unknown indication |
123701904 | 12370190 | 7 | Product used for unknown indication |
123701904 | 12370190 | 8 | Product used for unknown indication |
123701904 | 12370190 | 10 | Product used for unknown indication |
123701904 | 12370190 | 11 | Product used for unknown indication |
123701904 | 12370190 | 12 | Product used for unknown indication |
123701904 | 12370190 | 13 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
123701904 | 12370190 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
123701904 | 12370190 | Intervertebral disc degeneration | |
123701904 | 12370190 | Multiple sclerosis relapse | |
123701904 | 12370190 | Pain in extremity | |
123701904 | 12370190 | 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 |
---|---|---|---|---|---|---|
123701904 | 12370190 | 1 | 20150918 | 0 | ||
123701904 | 12370190 | 2 | 20130814 | 20150601 | 0 | |
123701904 | 12370190 | 3 | 20151104 | 0 | ||
123701904 | 12370190 | 6 | 20151007 | 0 | ||
123701904 | 12370190 | 7 | 20151104 | 0 | ||
123701904 | 12370190 | 8 | 20151007 | 0 | ||
123701904 | 12370190 | 9 | 20151208 | 0 | ||
123701904 | 12370190 | 12 | 20151104 | 0 | ||
123701904 | 12370190 | 13 | 20160205 | 0 |