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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
124336075 | 12433607 | 5 | F | 201602 | 20160915 | 20160603 | 20160928 | EXP | US-BIOGEN-2016BI00202460 | BIOGEN | 36.01 | YR | M | Y | 92.16000 | KG | 20160928 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
124336075 | 12433607 | 1 | PS | TYSABRI | NATALIZUMAB | 1 | Intravenous (not otherwise specified) | 125104 | 300 | MG | CONCENTRATE FOR SOLUTION FOR INFUSION | ||||||||
124336075 | 12433607 | 2 | C | LEMTRADA | ALEMTUZUMAB | 1 | Intravenous (not otherwise specified) | 0 | 12 | MG | UNKNOWN | QD | |||||||
124336075 | 12433607 | 3 | C | ACYCLOVIR. | ACYCLOVIR | 1 | Oral | 0 | 200 | MG | CAPSULE | BID | |||||||
124336075 | 12433607 | 4 | C | ALLOPURINOL. | ALLOPURINOL | 1 | Oral | 0 | 100 | MG | TABLETS | TID | |||||||
124336075 | 12433607 | 5 | C | BACLOFEN. | BACLOFEN | 1 | Oral | 0 | 20 | MG | TABLETS | TID | |||||||
124336075 | 12433607 | 6 | C | ciprofloxacin hcl | CIPROFLOXACIN HYDROCHLORIDE | 1 | Oral | 0 | 500 | MG | TABLETS | QD | |||||||
124336075 | 12433607 | 7 | C | DIAZEPAM. | DIAZEPAM | 1 | Oral | 0 | 5 | MG | TABLETS | QID | |||||||
124336075 | 12433607 | 8 | C | LATANOPROST. | LATANOPROST | 1 | Ophthalmic | 0 | 1 | GTT | DROPS | QD | |||||||
124336075 | 12433607 | 9 | C | LEVETIRACETAM. | LEVETIRACETAM | 1 | Oral | 0 | 750 | MG | TABLETS | QID | |||||||
124336075 | 12433607 | 10 | C | LOSARTAN POTASSIUM. | LOSARTAN POTASSIUM | 1 | Oral | 0 | 50 | MG | TABLETS | QD | |||||||
124336075 | 12433607 | 11 | C | LYRICA | PREGABALIN | 1 | Oral | 0 | 150 | MG | CAPSULE | BID | |||||||
124336075 | 12433607 | 12 | C | MIRALAX | POLYETHYLENE GLYCOL 3350 | 1 | Oral | 0 | 17 | G | POWDER | QD | |||||||
124336075 | 12433607 | 13 | C | PROPRANOLOL | PROPRANOLOLPROPRANOLOL HYDROCHLORIDE | 1 | Oral | 0 | 60 | MG | TABLETS | BID | |||||||
124336075 | 12433607 | 14 | C | SENOKOT | SENNOSIDES | 1 | Oral | 0 | 8.6 | MG | TABLETS | BID | |||||||
124336075 | 12433607 | 15 | C | vitamin b-12 er | 2 | Oral | 0 | 2000 | UG | TABLETS | BID | ||||||||
124336075 | 12433607 | 16 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Oral | 0 | 5000 | IU | CAPSULE | QD |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
124336075 | 12433607 | 1 | Multiple sclerosis |
124336075 | 12433607 | 2 | Progressive multiple sclerosis |
124336075 | 12433607 | 3 | Product used for unknown indication |
124336075 | 12433607 | 4 | Product used for unknown indication |
124336075 | 12433607 | 5 | Product used for unknown indication |
124336075 | 12433607 | 6 | Product used for unknown indication |
124336075 | 12433607 | 7 | Product used for unknown indication |
124336075 | 12433607 | 8 | Product used for unknown indication |
124336075 | 12433607 | 9 | Product used for unknown indication |
124336075 | 12433607 | 10 | Product used for unknown indication |
124336075 | 12433607 | 11 | Product used for unknown indication |
124336075 | 12433607 | 12 | Product used for unknown indication |
124336075 | 12433607 | 13 | Product used for unknown indication |
124336075 | 12433607 | 14 | Product used for unknown indication |
124336075 | 12433607 | 15 | Product used for unknown indication |
124336075 | 12433607 | 16 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
124336075 | 12433607 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
124336075 | 12433607 | Drug ineffective | |
124336075 | 12433607 | Multiple sclerosis | |
124336075 | 12433607 | Multiple sclerosis relapse | |
124336075 | 12433607 | Progressive multifocal leukoencephalopathy |
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 |
---|---|---|---|---|---|---|
124336075 | 12433607 | 1 | 20120606 | 20160315 | 0 | |
124336075 | 12433607 | 2 | 20160516 | 20160520 | 0 |