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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124004383 | 12400438 | 3 | F | 20150901 | 20160711 | 20160525 | 20160718 | EXP | US-BIOGEN-2016BI00236561 | BIOGEN | 16.62 | YR | M | Y | 0.00000 | 20160718 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124004383 | 12400438 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | U | R32049 | 103628 | 30 | UG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | /wk |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124004383 | 12400438 | 1 | Multiple sclerosis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124004383 | 12400438 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124004383 | 12400438 | Balance disorder | |
| 124004383 | 12400438 | Blood pressure increased | |
| 124004383 | 12400438 | Drug administered to patient of inappropriate age | |
| 124004383 | 12400438 | Drug ineffective | |
| 124004383 | 12400438 | Multiple sclerosis | |
| 124004383 | 12400438 | Multiple sclerosis relapse | |
| 124004383 | 12400438 | Muscular weakness | |
| 124004383 | 12400438 | Nausea | |
| 124004383 | 12400438 | Tremor |
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 |
|---|---|---|---|---|---|---|
| 124004383 | 12400438 | 1 | 20150901 | 20160517 | 0 |