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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125090272 | 12509027 | 2 | F | 20160611 | 20160711 | 20160629 | 20160715 | EXP | PT-BIOGEN-2016BI00257623 | BIOGEN | 53.25 | YR | F | Y | 0.00000 | 20160715 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125090272 | 12509027 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | 151392A | 103628 | 30 | UG | SOLN FOR INJECT IN PRE-FILLED SYRINGE | /wk | ||||||
| 125090272 | 12509027 | 2 | SS | AVONEX | INTERFERON BETA-1A | 1 | Unknown | 151392A | 103628 | SOLUTION FOR INJECTION IN PRE-FILLED PEN | |||||||||
| 125090272 | 12509027 | 3 | C | SERTRALINE | SERTRALINE HYDROCHLORIDE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 125090272 | 12509027 | 4 | C | Unisedil | DIAZEPAM | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 125090272 | 12509027 | 5 | C | Largactil | CHLORPROMAZINE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 125090272 | 12509027 | 6 | C | ZOLPIDEM | ZOLPIDEMOLPIDEM TARTRATE | 1 | Unknown | 0 | UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125090272 | 12509027 | 1 | Multiple sclerosis |
| 125090272 | 12509027 | 3 | Product used for unknown indication |
| 125090272 | 12509027 | 4 | Product used for unknown indication |
| 125090272 | 12509027 | 5 | Product used for unknown indication |
| 125090272 | 12509027 | 6 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125090272 | 12509027 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125090272 | 12509027 | Abasia | |
| 125090272 | 12509027 | Back pain | |
| 125090272 | 12509027 | Depression | |
| 125090272 | 12509027 | Muscular weakness | |
| 125090272 | 12509027 | Osteoarthritis | |
| 125090272 | 12509027 | Sensory loss |
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 |
|---|---|---|---|---|---|---|
| 125090272 | 12509027 | 1 | 20121029 | 0 | ||
| 125090272 | 12509027 | 2 | 20101029 | 0 |