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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126390091 | 12639009 | 1 | I | 2009 | 20130403 | 20160809 | 20160809 | EXP | BR-EMD SERONO-7203354 | EMD SERONO INC | 35.76 | YR | F | Y | 0.00000 | 20160810 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126390091 | 12639009 | 1 | PS | REBIF | INTERFERON BETA-1A | 1 | Subcutaneous | AU003207,AU012339 | 103780 | 44 | UG | INJECTION | /wk |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126390091 | 12639009 | 1 | Relapsing-remitting multiple sclerosis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126390091 | 12639009 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126390091 | 12639009 | Dengue fever | |
| 126390091 | 12639009 | Drug dose omission | |
| 126390091 | 12639009 | Headache | |
| 126390091 | 12639009 | Inappropriate schedule of drug administration | |
| 126390091 | 12639009 | Injection site erythema | |
| 126390091 | 12639009 | Neck pain | |
| 126390091 | 12639009 | Pain | |
| 126390091 | 12639009 | Sensory disturbance | |
| 126390091 | 12639009 | Tension | |
| 126390091 | 12639009 | Vision blurred |
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 |
|---|---|---|---|---|---|---|
| 126390091 | 12639009 | 1 | 20090128 | 0 |