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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123811614 | 12381161 | 4 | F | 20160721 | 20160518 | 20160727 | EXP | US-BIOGEN-2016BI00238653 | BIOGEN | 0.00 | M | Y | 0.00000 | 20160727 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123811614 | 12381161 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Unknown | U | 103628 | UNKNOWN | |||||||||
| 123811614 | 12381161 | 2 | SS | AVONEX | INTERFERON BETA-1A | 1 | Unknown | U | 103628 | UNKNOWN | |||||||||
| 123811614 | 12381161 | 3 | C | VICKS NYQUIL | ACETAMINOPHENDEXTROMETHORPHAN HYDROBROMIDEDOXYLAMINE SUCCINATE | 1 | Unknown | 0 | UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 123811614 | 12381161 | 1 | Multiple sclerosis |
| 123811614 | 12381161 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 123811614 | 12381161 | OT |
| 123811614 | 12381161 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 123811614 | 12381161 | Blindness transient | |
| 123811614 | 12381161 | Chills | |
| 123811614 | 12381161 | Decreased activity | |
| 123811614 | 12381161 | Feeling hot | |
| 123811614 | 12381161 | General symptom | |
| 123811614 | 12381161 | Hypersensitivity | |
| 123811614 | 12381161 | Lethargy | |
| 123811614 | 12381161 | Vision blurred |
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 |
|---|---|---|---|---|---|---|
| 123811614 | 12381161 | 1 | 20111230 | 20131230 | 0 | |
| 123811614 | 12381161 | 2 | 20150721 | 0 |