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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124090422 | 12409042 | 2 | F | 201602 | 20160627 | 20160526 | 20160706 | EXP | US-BIOGEN-2016BI00239543 | BIOGEN | 65.50 | YR | M | Y | 0.00000 | 20160706 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124090422 | 12409042 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Unknown | U | 103628 | UNKNOWN | |||||||||
| 124090422 | 12409042 | 2 | SS | AVONEX | INTERFERON BETA-1A | 1 | Subcutaneous | U | 103628 | 30 | UG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | /wk | ||||||
| 124090422 | 12409042 | 3 | C | amantadine | AMANTADINE | 1 | Unknown | 0 | 100 | MG | UNKNOWN | BID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124090422 | 12409042 | 1 | Multiple sclerosis |
| 124090422 | 12409042 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124090422 | 12409042 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124090422 | 12409042 | Dysphagia | |
| 124090422 | 12409042 | Dysphonia | |
| 124090422 | 12409042 | Feeling abnormal | |
| 124090422 | 12409042 | Incorrect route of drug administration | |
| 124090422 | 12409042 | Malaise | |
| 124090422 | 12409042 | Mobility decreased | |
| 124090422 | 12409042 | Pneumonia | |
| 124090422 | 12409042 | Resuscitation | |
| 124090422 | 12409042 | Speech disorder | |
| 124090422 | 12409042 | Sputum retention |
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 |
|---|---|---|---|---|---|---|
| 124090422 | 12409042 | 1 | 20041105 | 0 | ||
| 124090422 | 12409042 | 2 | 20160323 | 0 |