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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126401181 | 12640118 | 1 | I | 20160529 | 20160622 | 20160810 | 20160810 | EXP | US-EMD SERONO-E2B_80042192 | EMD SERONO INC | 47.67 | YR | F | Y | 85.00000 | KG | 20160810 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126401181 | 12640118 | 1 | PS | REBIF | INTERFERON BETA-1A | 1 | Subcutaneous | AU013425 | 103780 | 44 | UG | INJECTION | TIW | ||||||
126401181 | 12640118 | 2 | SS | ULTRAM | TRAMADOL HYDROCHLORIDE | 1 | 0 | ||||||||||||
126401181 | 12640118 | 3 | SS | ARICEPT | DONEPEZIL HYDROCHLORIDE | 1 | 0 | ||||||||||||
126401181 | 12640118 | 4 | C | GABAPENTIN. | GABAPENTIN | 1 | 0 | ||||||||||||
126401181 | 12640118 | 5 | C | HYDROCHLOROTHIAZIDE. | HYDROCHLOROTHIAZIDE | 1 | 0 | ||||||||||||
126401181 | 12640118 | 6 | C | LISINOPRIL. | LISINOPRIL | 1 | 0 | ||||||||||||
126401181 | 12640118 | 7 | C | ZOLOFT | SERTRALINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
126401181 | 12640118 | 8 | C | ROBAXIN | METHOCARBAMOL | 1 | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126401181 | 12640118 | 1 | Multiple sclerosis |
126401181 | 12640118 | 2 | Product used for unknown indication |
126401181 | 12640118 | 3 | Product used for unknown indication |
126401181 | 12640118 | 4 | Psychogenic seizure |
126401181 | 12640118 | 5 | Hypertension |
126401181 | 12640118 | 6 | Hypertension |
126401181 | 12640118 | 7 | Product used for unknown indication |
126401181 | 12640118 | 8 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126401181 | 12640118 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126401181 | 12640118 | Amnesia | |
126401181 | 12640118 | Fatigue | |
126401181 | 12640118 | Injection site discolouration | |
126401181 | 12640118 | Loss of consciousness | |
126401181 | 12640118 | Myalgia | |
126401181 | 12640118 | Seizure | |
126401181 | 12640118 | Staring |
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 |
---|---|---|---|---|---|---|
126401181 | 12640118 | 1 | 20150619 | 0 |