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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124990142 | 12499014 | 2 | F | 20160727 | 20160812 | 20160627 | 20160818 | PER | US-BIOGEN-2016BI00255220 | BIOGEN | 36.16 | YR | F | Y | 137.56000 | KG | 20160818 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124990142 | 12499014 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | P41086 | 103628 | 30 | UG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | /wk | ||||||
| 124990142 | 12499014 | 2 | C | TYLENOL | ACETAMINOPHEN | 1 | Unknown | U | 0 | UNKNOWN | |||||||||
| 124990142 | 12499014 | 3 | C | NORCO | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | Unknown | U | 0 | UNKNOWN | |||||||||
| 124990142 | 12499014 | 4 | C | GABAPENTIN. | GABAPENTIN | 1 | Unknown | U | 0 | UNKNOWN | |||||||||
| 124990142 | 12499014 | 5 | C | METHOCARBAMOL. | METHOCARBAMOL | 1 | Unknown | U | 0 | UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124990142 | 12499014 | 1 | Multiple sclerosis |
| 124990142 | 12499014 | 2 | Product used for unknown indication |
| 124990142 | 12499014 | 3 | Product used for unknown indication |
| 124990142 | 12499014 | 4 | Product used for unknown indication |
| 124990142 | 12499014 | 5 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124990142 | 12499014 | Expired product administered | |
| 124990142 | 12499014 | Headache | |
| 124990142 | 12499014 | Multiple sclerosis relapse |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |