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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
124527552 | 12452755 | 2 | F | 20160516 | 20160705 | 20160609 | 20160712 | EXP | US-BIOGEN-2016BI00240356 | BIOGEN | 53.10 | YR | M | Y | 0.00000 | 20160712 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
124527552 | 12452755 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | 103628 | 30 | UG | UNKNOWN | /wk | |||||||
124527552 | 12452755 | 2 | SS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | 103628 | 30 | UG | UNKNOWN | /wk | |||||||
124527552 | 12452755 | 3 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
124527552 | 12452755 | 4 | C | VITAMIN D | CHOLECALCIFEROL | 1 | Unknown | 0 | UNKNOWN | ||||||||||
124527552 | 12452755 | 5 | C | fioricet/cod | 2 | Unknown | 0 | UNKNOWN |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
124527552 | 12452755 | 1 | Multiple sclerosis |
124527552 | 12452755 | 3 | Product used for unknown indication |
124527552 | 12452755 | 4 | Product used for unknown indication |
124527552 | 12452755 | 5 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
124527552 | 12452755 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
124527552 | 12452755 | Ophthalmoplegia | |
124527552 | 12452755 | Visual impairment |
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 |
---|---|---|---|---|---|---|
124527552 | 12452755 | 1 | 200502 | 200906 | 0 | |
124527552 | 12452755 | 2 | 201603 | 0 |