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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124288793 | 12428879 | 3 | F | 201602 | 20160702 | 20160602 | 20160708 | EXP | US-BIOGEN-2016BI00244057 | BIOGEN | 66.96 | YR | F | Y | 82.63000 | KG | 20160708 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124288793 | 12428879 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | U | 103628 | 30 | UG | SOLN FOR INJECT IN PRE-FILLED SYRINGE | /wk | ||||||
| 124288793 | 12428879 | 2 | C | ACETAMINOPHENHYDROCODONE BITARTRATE | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | Oral | PRN | 0 | 5 | MG | TABLETS | Q6H | ||||||
| 124288793 | 12428879 | 3 | C | ACETAMINOPHENHYDROCODONE BITARTRATE | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | Oral | 0 | 325 | MG | TABLETS | Q6H | |||||||
| 124288793 | 12428879 | 4 | C | MAGNESIUM OXIDE. | MAGNESIUM OXIDE | 1 | Oral | 0 | 400 | MG | TABLETS | ||||||||
| 124288793 | 12428879 | 5 | C | METOPROLOL TARTRATE. | METOPROLOL TARTRATE | 1 | Oral | 0 | 25 | MG | TABLETS | QD | |||||||
| 124288793 | 12428879 | 6 | C | TIMOLOL. | TIMOLOL | 1 | Ophthalmic | 0 | .5 | PCT | SOLUTION | BID | |||||||
| 124288793 | 12428879 | 7 | C | potassium chloride ER | POTASSIUM CHLORIDE | 1 | Oral | 0 | 20 | MEQ | TABLETS | QD | |||||||
| 124288793 | 12428879 | 8 | C | NITROSTAT | NITROGLYCERIN | 1 | Sublingual | 0 | .4 | MG | TABLETS | ||||||||
| 124288793 | 12428879 | 9 | C | Ticagrelor | TICAGRELOR | 1 | Oral | 0 | 90 | MG | TABLETS | BID | |||||||
| 124288793 | 12428879 | 10 | C | PLAVIX | CLOPIDOGREL BISULFATE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 124288793 | 12428879 | 11 | C | ASPIRIN. | ASPIRIN | 1 | Oral | 0 | 81 | MG | CHEWABLE TABLET | QD | |||||||
| 124288793 | 12428879 | 12 | C | LISINOPRIL. | LISINOPRIL | 1 | Oral | 0 | 120 | MG | TABLETS | QD | |||||||
| 124288793 | 12428879 | 13 | C | Metformin HCL | METFORMIN HYDROCHLORIDE | 1 | Oral | 0 | 500 | MG | TABLETS | QD | |||||||
| 124288793 | 12428879 | 14 | C | NEURONTIN | GABAPENTIN | 1 | Oral | 0 | 100 | MG | CAPSULE | TID | |||||||
| 124288793 | 12428879 | 15 | C | AMITIZA | LUBIPROSTONE | 1 | Oral | 0 | 24 | UG | CAPSULE | BID | |||||||
| 124288793 | 12428879 | 16 | C | XALATAN | LATANOPROST | 1 | Unknown | 0 | .005 | PCT | DROPS | ||||||||
| 124288793 | 12428879 | 17 | C | diltiazem HCL ER | 2 | Unknown | 0 | 180 | MG | PROLONGED-RELEASE CAPSULE | |||||||||
| 124288793 | 12428879 | 18 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Unknown | 0 | 2000 | IU | CAPSULE | ||||||||
| 124288793 | 12428879 | 19 | C | VITAMIN E | .ALPHA.-TOCOPHEROL | 1 | Unknown | 0 | 400 | IU | CAPSULE | QD | |||||||
| 124288793 | 12428879 | 20 | C | ZOCOR | SIMVASTATIN | 1 | Unknown | 0 | 40 | MG | TABLETS | QD | |||||||
| 124288793 | 12428879 | 21 | C | VOLTAREN | DICLOFENAC SODIUM | 1 | Unknown | 0 | 1 | PCT | GEL | ||||||||
| 124288793 | 12428879 | 22 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | Unknown | 0 | 20 | MG | PROLONGED-RELEASE CAPSULE | QD | |||||||
| 124288793 | 12428879 | 23 | C | BACTRIM DS | SULFAMETHOXAZOLETRIMETHOPRIM | 1 | Unknown | 0 | TABLETS | QD | |||||||||
| 124288793 | 12428879 | 24 | C | BACLOFEN. | BACLOFEN | 1 | Oral | 0 | 20 | MG | TABLETS | TID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124288793 | 12428879 | 1 | Multiple sclerosis |
| 124288793 | 12428879 | 2 | Pain |
| 124288793 | 12428879 | 4 | Product used for unknown indication |
| 124288793 | 12428879 | 5 | Product used for unknown indication |
| 124288793 | 12428879 | 6 | Product used for unknown indication |
| 124288793 | 12428879 | 7 | Product used for unknown indication |
| 124288793 | 12428879 | 8 | Product used for unknown indication |
| 124288793 | 12428879 | 9 | Product used for unknown indication |
| 124288793 | 12428879 | 10 | Cerebrovascular accident prophylaxis |
| 124288793 | 12428879 | 11 | Cerebrovascular accident prophylaxis |
| 124288793 | 12428879 | 12 | Product used for unknown indication |
| 124288793 | 12428879 | 13 | Product used for unknown indication |
| 124288793 | 12428879 | 14 | Product used for unknown indication |
| 124288793 | 12428879 | 15 | Product used for unknown indication |
| 124288793 | 12428879 | 16 | Product used for unknown indication |
| 124288793 | 12428879 | 17 | Product used for unknown indication |
| 124288793 | 12428879 | 18 | Product used for unknown indication |
| 124288793 | 12428879 | 19 | Product used for unknown indication |
| 124288793 | 12428879 | 20 | Product used for unknown indication |
| 124288793 | 12428879 | 21 | Product used for unknown indication |
| 124288793 | 12428879 | 22 | Product used for unknown indication |
| 124288793 | 12428879 | 23 | Product used for unknown indication |
| 124288793 | 12428879 | 24 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124288793 | 12428879 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124288793 | 12428879 | Drug ineffective | |
| 124288793 | 12428879 | Hypoacusis | |
| 124288793 | 12428879 | Multiple sclerosis | |
| 124288793 | 12428879 | Multiple sclerosis relapse | |
| 124288793 | 12428879 | Myocardial infarction |
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 |
|---|---|---|---|---|---|---|
| 124288793 | 12428879 | 1 | 1997 | 0 |