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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125581121 | 12558112 | 1 | I | 201107 | 20131118 | 20160714 | 20160714 | EXP | AR-EMD SERONO-7251694 | EMD SERONO INC | 33.05 | YR | M | Y | 88.00000 | KG | 20160714 | MD | AR | AR |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125581121 | 12558112 | 1 | PS | REBIF | INTERFERON BETA-1A | 1 | Subcutaneous | 103780 | 44 | UG | INJECTION | TIW |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125581121 | 12558112 | 1 | Relapsing-remitting multiple sclerosis |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
125581121 | 12558112 | DE |
125581121 | 12558112 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125581121 | 12558112 | Central nervous system lesion | |
125581121 | 12558112 | Diplopia | |
125581121 | 12558112 | Gait disturbance | |
125581121 | 12558112 | Retinal detachment | |
125581121 | 12558112 | Sudden death | |
125581121 | 12558112 | Visual acuity reduced |
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 |
---|---|---|---|---|---|---|
125581121 | 12558112 | 1 | 20090910 | 0 |