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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125725171 | 12572517 | 1 | I | 20160219 | 20160719 | 20160719 | EXP | BR-BIOGEN-2016BI00194189 | BIOGEN | 0.00 | F | Y | 0.00000 | 20160719 | CN | BR | BR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125725171 | 12572517 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | U | 103628 | 30 | UG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | /wk | ||||||
| 125725171 | 12572517 | 2 | C | VENLAFAXINE | VENLAFAXINE HYDROCHLORIDE | 1 | Unknown | 0 | 150 | MG | UNKNOWN | QD | |||||||
| 125725171 | 12572517 | 3 | C | DIANE (CYPROTERONE ACETATEETHINYL ESTRADIOL) | CYPROTERONE ACETATEETHINYL ESTRADIOL | 1 | Unknown | 0 | 35 | MG | UNKNOWN | ||||||||
| 125725171 | 12572517 | 4 | C | RIVOTRIL | CLONAZEPAM | 1 | Unknown | 0 | UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125725171 | 12572517 | 1 | Multiple sclerosis |
| 125725171 | 12572517 | 2 | Depression |
| 125725171 | 12572517 | 3 | Contraception |
| 125725171 | 12572517 | 4 | Sleep disorder |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125725171 | 12572517 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125725171 | 12572517 | Arthralgia | |
| 125725171 | 12572517 | Burning sensation | |
| 125725171 | 12572517 | Chills | |
| 125725171 | 12572517 | Headache | |
| 125725171 | 12572517 | Multiple sclerosis | |
| 125725171 | 12572517 | Nausea | |
| 125725171 | 12572517 | Pain | |
| 125725171 | 12572517 | Pyrexia | |
| 125725171 | 12572517 | Rash erythematous | |
| 125725171 | 12572517 | Syncope | |
| 125725171 | 12572517 | Vomiting | |
| 125725171 | 12572517 | Weight abnormal |
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 |
|---|---|---|---|---|---|---|
| 125725171 | 12572517 | 1 | 201511 | 201512 | 0 |