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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125777632 | 12577763 | 2 | F | 201607 | 20160727 | 20160721 | 20160728 | EXP | US-BIOGEN-2016BI00266813 | BIOGEN | 58.25 | YR | F | Y | 0.00000 | 20160728 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125777632 | 12577763 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | U | 103628 | 30 | UG | SOLN FOR INJECT IN PRE-FILLED SYRINGE | /wk | ||||||
| 125777632 | 12577763 | 2 | C | TRAMADOL HCL | TRAMADOL HYDROCHLORIDE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 125777632 | 12577763 | 3 | C | JANTOVEN | WARFARIN SODIUM | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 125777632 | 12577763 | 4 | C | Ropinirole HCl | ROPINIROLE HYDROCHLORIDE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 125777632 | 12577763 | 5 | C | METOPROLOL TARTRATE. | METOPROLOL TARTRATE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 125777632 | 12577763 | 6 | C | LEVOTHYROXINE SODIUM. | LEVOTHYROXINE SODIUM | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 125777632 | 12577763 | 7 | C | LOSARTAN POTASSIUM. | LOSARTAN POTASSIUM | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 125777632 | 12577763 | 8 | C | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 125777632 | 12577763 | 9 | C | FUROSEMIDE. | FUROSEMIDE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 125777632 | 12577763 | 10 | C | Tizanidine HCl | TIZANIDINE HYDROCHLORIDE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
| 125777632 | 12577763 | 11 | C | FENTANYL. | FENTANYL | 1 | Unknown | 0 | UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125777632 | 12577763 | 1 | Secondary progressive multiple sclerosis |
| 125777632 | 12577763 | 2 | Product used for unknown indication |
| 125777632 | 12577763 | 3 | Product used for unknown indication |
| 125777632 | 12577763 | 4 | Product used for unknown indication |
| 125777632 | 12577763 | 5 | Product used for unknown indication |
| 125777632 | 12577763 | 6 | Product used for unknown indication |
| 125777632 | 12577763 | 7 | Product used for unknown indication |
| 125777632 | 12577763 | 8 | Product used for unknown indication |
| 125777632 | 12577763 | 9 | Product used for unknown indication |
| 125777632 | 12577763 | 10 | Product used for unknown indication |
| 125777632 | 12577763 | 11 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125777632 | 12577763 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125777632 | 12577763 | Depression | |
| 125777632 | 12577763 | Eye operation |
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 |
|---|---|---|---|---|---|---|
| 125777632 | 12577763 | 1 | 20130219 | 0 |