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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125638782 | 12563878 | 2 | F | 20160728 | 20160716 | 20160802 | EXP | US-BIOGEN-2016BI00265265 | BIOGEN | 0.00 | F | Y | 64.65000 | KG | 20160802 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125638782 | 12563878 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Unknown | U | 103628 | UNKNOWN | |||||||||
| 125638782 | 12563878 | 2 | SS | AVONEX | INTERFERON BETA-1A | 1 | Unknown | U | 103628 | UNKNOWN | |||||||||
| 125638782 | 12563878 | 3 | SS | AVONEX | INTERFERON BETA-1A | 1 | Unknown | U | 103628 | 30 | UG | UNKNOWN | /wk | ||||||
| 125638782 | 12563878 | 4 | SS | AVONEX | INTERFERON BETA-1A | 1 | Unknown | U | 103628 | 15 | UG | UNKNOWN | |||||||
| 125638782 | 12563878 | 5 | C | amitriptyline | AMITRIPTYLINE | 1 | Oral | AT BEDTIME | 0 | 10 | MG | TABLETS | QD | ||||||
| 125638782 | 12563878 | 6 | C | cyclobenzaprine hcl | CYCLOBENZAPRINE HYDROCHLORIDE | 1 | Oral | AT BEDTIME | 0 | 10 | MG | TABLETS | QD | ||||||
| 125638782 | 12563878 | 7 | C | DIAZEPAM. | DIAZEPAM | 1 | Oral | 1 BID PRN | 0 | 5 | MG | TABLETS | |||||||
| 125638782 | 12563878 | 8 | C | TRAZODONE HYDROCHLORIDE. | TRAZODONE HYDROCHLORIDE | 1 | Oral | AT BEDTIME | 0 | 50 | MG | TABLETS | QD | ||||||
| 125638782 | 12563878 | 9 | C | MIRALAX | POLYETHYLENE GLYCOL 3350 | 1 | Oral | 17G IN 8OZ OF BEVERAGE DAILY | 0 | POWDER | |||||||||
| 125638782 | 12563878 | 10 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | Oral | 1 AND 1/2 TABLET PER DAY | 0 | 1000 | UG | TABLETS | |||||||
| 125638782 | 12563878 | 11 | C | probiotic | PROBIOTICS NOS | 1 | Oral | 0 | CAPSULE | QD | |||||||||
| 125638782 | 12563878 | 12 | C | VITAMIN D | CHOLECALCIFEROL | 1 | Oral | 0 | 2000 | IU | CAPSULES | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125638782 | 12563878 | 1 | Multiple sclerosis |
| 125638782 | 12563878 | 5 | Product used for unknown indication |
| 125638782 | 12563878 | 6 | Musculoskeletal stiffness |
| 125638782 | 12563878 | 7 | Anxiety |
| 125638782 | 12563878 | 8 | Product used for unknown indication |
| 125638782 | 12563878 | 9 | Product used for unknown indication |
| 125638782 | 12563878 | 10 | Product used for unknown indication |
| 125638782 | 12563878 | 11 | Product used for unknown indication |
| 125638782 | 12563878 | 12 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125638782 | 12563878 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125638782 | 12563878 | Adverse reaction | |
| 125638782 | 12563878 | Depression | |
| 125638782 | 12563878 | Feeling abnormal | |
| 125638782 | 12563878 | Pain | |
| 125638782 | 12563878 | Pain in extremity | |
| 125638782 | 12563878 | Suicidal ideation |
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 |
|---|---|---|---|---|---|---|
| 125638782 | 12563878 | 1 | 20140426 | 0 | ||
| 125638782 | 12563878 | 2 | 20140308 | 0 |