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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125089252 | 12508925 | 2 | F | 201606 | 20160712 | 20160629 | 20160718 | EXP | PT-BIOGEN-2016BI00257620 | BIOGEN | 59.15 | YR | M | Y | 0.00000 | 20160718 | OT | PT | PT |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125089252 | 12508925 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | 103628 | 30 | UG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | /wk | |||||||
| 125089252 | 12508925 | 2 | SS | FAMPYRA | DALFAMPRIDINE | 1 | Unknown | 22250 | UNKNOWN | BID | |||||||||
| 125089252 | 12508925 | 3 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | Unknown | U | 0 | UNKNOWN | |||||||||
| 125089252 | 12508925 | 4 | C | SIMVASTATIN. | SIMVASTATIN | 1 | Unknown | U | 0 | UNKNOWN | |||||||||
| 125089252 | 12508925 | 5 | C | NEUROBION | CYANOCOBALAMINPYRIDOXINETHIAMINE | 1 | Unknown | U | 0 | UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125089252 | 12508925 | 1 | Product used for unknown indication |
| 125089252 | 12508925 | 2 | Gait disturbance |
| 125089252 | 12508925 | 3 | Product used for unknown indication |
| 125089252 | 12508925 | 4 | Product used for unknown indication |
| 125089252 | 12508925 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125089252 | 12508925 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125089252 | 12508925 | Balance disorder | |
| 125089252 | 12508925 | Gait disturbance | |
| 125089252 | 12508925 | Limb discomfort | |
| 125089252 | 12508925 | Muscular weakness |
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 |
|---|---|---|---|---|---|---|
| 125089252 | 12508925 | 1 | 20160527 | 0 |