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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125018953 | 12501895 | 3 | F | 20160811 | 20160627 | 20160819 | EXP | US-BIOGEN-2016BI00256398 | BIOGEN | 0.00 | M | Y | 82.17000 | KG | 20160819 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125018953 | 12501895 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | U | 103628 | 30 | UG | POWDER FOR SOLUTION FOR INJECTION | /wk | ||||||
| 125018953 | 12501895 | 2 | SS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | U | 103628 | 30 | UG | UNKNOWN | /wk | ||||||
| 125018953 | 12501895 | 3 | SS | AVONEX | INTERFERON BETA-1A | 1 | Unknown | U | 103628 | UNKNOWN | |||||||||
| 125018953 | 12501895 | 4 | C | TRAZODONE | TRAZODONE HYDROCHLORIDE | 1 | Unknown | 0 | 100 | MG | UNKNOWN | ||||||||
| 125018953 | 12501895 | 5 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | Unknown | 0 | 25 | MEQ | UNKNOWN | ||||||||
| 125018953 | 12501895 | 6 | C | SERTRALINE | SERTRALINE HYDROCHLORIDE | 1 | Unknown | 0 | 100 | MG | UNKNOWN | ||||||||
| 125018953 | 12501895 | 7 | C | ABILIFY | ARIPIPRAZOLE | 1 | Unknown | 0 | 20 | MG | UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125018953 | 12501895 | 1 | Relapsing-remitting multiple sclerosis |
| 125018953 | 12501895 | 4 | Product used for unknown indication |
| 125018953 | 12501895 | 5 | Product used for unknown indication |
| 125018953 | 12501895 | 6 | Product used for unknown indication |
| 125018953 | 12501895 | 7 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125018953 | 12501895 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125018953 | 12501895 | Intentional product misuse | |
| 125018953 | 12501895 | Multiple sclerosis | |
| 125018953 | 12501895 | Seizure |
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 |
|---|---|---|---|---|---|---|
| 125018953 | 12501895 | 1 | 20150101 | 2015 | 0 | |
| 125018953 | 12501895 | 2 | 201510 | 0 | ||
| 125018953 | 12501895 | 3 | 20151125 | 0 |