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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125258221 | 12525822 | 1 | I | 2005 | 20160308 | 20160705 | 20160705 | EXP | DE-BIOGEN-2016BI00204341 | BIOGEN | 22.77 | YR | F | Y | 67.00000 | KG | 20160705 | MD | DE | DE |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125258221 | 12525822 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | 103628 | 30 | UG | SOLN FOR INJECT IN PRE-FILLED SYRINGE | /wk | |||||||
125258221 | 12525822 | 2 | C | Minisiston | ETHINYL ESTRADIOLLEVONORGESTREL | 1 | Unknown | 0 | UNKNOWN |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125258221 | 12525822 | 1 | Multiple sclerosis |
125258221 | 12525822 | 2 | Contraception |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
125258221 | 12525822 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125258221 | 12525822 | Arrhythmia | |
125258221 | 12525822 | Bladder dysfunction | |
125258221 | 12525822 | Drug dependence | |
125258221 | 12525822 | Fluid retention | |
125258221 | 12525822 | Influenza like illness | |
125258221 | 12525822 | Multiple sclerosis relapse | |
125258221 | 12525822 | Pain in extremity | |
125258221 | 12525822 | Panic attack | |
125258221 | 12525822 | Progressive relapsing multiple sclerosis | |
125258221 | 12525822 | Sinusitis | |
125258221 | 12525822 | Sleep disorder |
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 |
---|---|---|---|---|---|---|
125258221 | 12525822 | 1 | 200511 | 0 |