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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125904862 | 12590486 | 2 | F | 201403 | 20160830 | 20160725 | 20160907 | EXP | US-BIOGEN-2014BI104121 | BIOGEN | 61.73 | YR | F | Y | 0.00000 | 20160907 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125904862 | 12590486 | 1 | PS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | 103628 | 30 | UG | SOLN FOR INJECT IN PRE-FILLED SYRINGE | /wk | |||||||
125904862 | 12590486 | 2 | SS | AVONEX | INTERFERON BETA-1A | 1 | Intramuscular | 103628 | 30 | UG | SOLN FOR INJECT IN PRE-FILLED SYRINGE | /wk | |||||||
125904862 | 12590486 | 3 | C | ACETAMINOPHEN. | ACETAMINOPHEN | 1 | Unknown | 0 | UNKNOWN | ||||||||||
125904862 | 12590486 | 4 | C | ENALAPRIL MALEATE. | ENALAPRIL MALEATE | 1 | Unknown | 0 | UNKNOWN | ||||||||||
125904862 | 12590486 | 5 | C | TRAMADOL. | TRAMADOL | 1 | Unknown | 0 | UNKNOWN | ||||||||||
125904862 | 12590486 | 6 | C | DETROL LA | TOLTERODINE TARTRATE | 1 | Unknown | 0 | UNKNOWN |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125904862 | 12590486 | 1 | Multiple sclerosis |
125904862 | 12590486 | 3 | Product used for unknown indication |
125904862 | 12590486 | 4 | Product used for unknown indication |
125904862 | 12590486 | 5 | Product used for unknown indication |
125904862 | 12590486 | 6 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
125904862 | 12590486 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125904862 | 12590486 | Anxiety | |
125904862 | 12590486 | Bladder disorder | |
125904862 | 12590486 | Cataract | |
125904862 | 12590486 | Coccydynia | |
125904862 | 12590486 | Confusional state | |
125904862 | 12590486 | Depression | |
125904862 | 12590486 | Gastrointestinal disorder | |
125904862 | 12590486 | Hemianaesthesia | |
125904862 | 12590486 | Hypoaesthesia | |
125904862 | 12590486 | Hysterectomy | |
125904862 | 12590486 | Intervertebral disc protrusion | |
125904862 | 12590486 | Memory impairment | |
125904862 | 12590486 | Panic reaction | |
125904862 | 12590486 | Rash | |
125904862 | 12590486 | Stress | |
125904862 | 12590486 | Tremor |
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 |
---|---|---|---|---|---|---|
125904862 | 12590486 | 1 | 20080425 | 0 | ||
125904862 | 12590486 | 2 | 20080429 | 0 |