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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125408304 | 12540830 | 4 | F | 20160718 | 20160708 | 20160721 | EXP | US-BIOGEN-2016BI00261634 | BIOGEN | 0.00 | F | Y | 0.00000 | 20160721 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125408304 | 12540830 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | U | 103628 | 30 | UG | SOLN FOR INJECT IN PRE-FILLED SYRINGE | /wk |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125408304 | 12540830 | 1 | Multiple sclerosis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125408304 | 12540830 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125408304 | 12540830 | Asthenia | |
| 125408304 | 12540830 | Bipolar disorder | |
| 125408304 | 12540830 | Cardiac failure congestive | |
| 125408304 | 12540830 | Cognitive disorder | |
| 125408304 | 12540830 | Confusional state | |
| 125408304 | 12540830 | Dizziness | |
| 125408304 | 12540830 | Hydrocephalus | |
| 125408304 | 12540830 | Psychotic disorder | |
| 125408304 | 12540830 | Shunt malfunction | |
| 125408304 | 12540830 | Therapy non-responder |
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 |
|---|---|---|---|---|---|---|
| 125408304 | 12540830 | 1 | 2000 | 2015 | 0 |