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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
123706172 | 12370617 | 2 | F | 201401 | 20160707 | 20160516 | 20160715 | EXP | DE-BIOGEN-2016BI00229182 | BIOGEN | 52.80 | YR | F | Y | 83.00000 | KG | 20160715 | MD | DE | DE |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
123706172 | 12370617 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | 103628 | 30 | UG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | /wk | |||||||
123706172 | 12370617 | 2 | C | pantoprazole | PANTOPRAZOLE SODIUM | 1 | Unknown | 0 | 40 | MG | UNKNOWN | QD | |||||||
123706172 | 12370617 | 3 | C | Atorvastatin | ATORVASTATIN | 1 | Unknown | 0 | 20 | MG | UNKNOWN | QD | |||||||
123706172 | 12370617 | 4 | C | L-Thyroxine | LEVOTHYROXINE | 1 | Unknown | 0 | 75 | UG | UNKNOWN | QD | |||||||
123706172 | 12370617 | 5 | C | Calcium D3 | CALCIUMCHOLECALCIFEROL | 1 | Unknown | 0 | UNKNOWN | QOD |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
123706172 | 12370617 | 1 | Multiple sclerosis |
123706172 | 12370617 | 2 | Product used for unknown indication |
123706172 | 12370617 | 3 | Product used for unknown indication |
123706172 | 12370617 | 4 | Product used for unknown indication |
123706172 | 12370617 | 5 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
123706172 | 12370617 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
123706172 | 12370617 | Multiple sclerosis relapse | |
123706172 | 12370617 | Plasma cell myeloma |
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 |
---|---|---|---|---|---|---|
123706172 | 12370617 | 1 | 201206 | 20140525 | 0 |