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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125777623 | 12577762 | 3 | F | 2016 | 20160912 | 20160721 | 20160920 | EXP | US-BIOGEN-2016BI00267206 | BIOGEN | 0.00 | F | Y | 84.90000 | KG | 20160920 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125777623 | 12577762 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Unknown | 103628 | UNKNOWN | ||||||||||
| 125777623 | 12577762 | 2 | SS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | 103628 | 30 | UG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | /wk | |||||||
| 125777623 | 12577762 | 3 | C | VITAMIN D | CHOLECALCIFEROL | 1 | Unknown | 0 | 1000 | IU | UNKNOWN | ||||||||
| 125777623 | 12577762 | 4 | C | VITAMIN D | CHOLECALCIFEROL | 1 | Unknown | 0 | 6000 | IU | UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125777623 | 12577762 | 1 | Multiple sclerosis |
| 125777623 | 12577762 | 3 | Vitamin D deficiency |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125777623 | 12577762 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125777623 | 12577762 | Ankle fracture | |
| 125777623 | 12577762 | Balance disorder | |
| 125777623 | 12577762 | Bladder disorder | |
| 125777623 | 12577762 | Fall | |
| 125777623 | 12577762 | Nephrolithiasis | |
| 125777623 | 12577762 | Osteopenia | |
| 125777623 | 12577762 | Pneumonia | |
| 125777623 | 12577762 | Tibia fracture |
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 |
|---|---|---|---|---|---|---|
| 125777623 | 12577762 | 1 | 201604 | 0 | ||
| 125777623 | 12577762 | 2 | 20160520 | 0 |