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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125871461 | 12587146 | 1 | I | 201301 | 20130205 | 20160725 | 20160725 | EXP | US-EMD SERONO-7192366 | EMD SERONO INC | 26.36 | YR | M | Y | 0.00000 | 20160725 | OT | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125871461 | 12587146 | 1 | PS | REBIF | INTERFERON BETA-1A | 1 | Subcutaneous | U | 103780 | 44 | UG | INJECTION | TIW | ||||||
125871461 | 12587146 | 2 | SS | REBIF | INTERFERON BETA-1A | 1 | Subcutaneous | U | 103780 | INJECTION |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125871461 | 12587146 | 1 | Multiple sclerosis |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
125871461 | 12587146 | HO |
125871461 | 12587146 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125871461 | 12587146 | Biliary cyst | |
125871461 | 12587146 | Depression | |
125871461 | 12587146 | Dysarthria | |
125871461 | 12587146 | Feeling abnormal | |
125871461 | 12587146 | Hepatomegaly | |
125871461 | 12587146 | Overdose | |
125871461 | 12587146 | 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 |
---|---|---|---|---|---|---|
125871461 | 12587146 | 1 | 20120523 | 201305 | 0 | |
125871461 | 12587146 | 2 | 201607 | 0 |