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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126439152 | 12643915 | 2 | F | 20160603 | 20160902 | 20160811 | 20160914 | EXP | CA-BAYER-2016-111585 | BAYER | 30.00 | YR | A | F | Y | 0.00000 | 20160914 | MD | CA | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126439152 | 12643915 | 1 | PS | BETASERON | INTERFERON BETA-1B | 1 | 0.062 MG, UNK | 51156A | 103471 | .062 | MG | POWDER AND SOLVENT FOR SOLUTION FOR INJECTION | |||||||
| 126439152 | 12643915 | 2 | SS | BETASERON | INTERFERON BETA-1B | 1 | 0.25 MG, UNK | 53071A | 103471 | .25 | MG | POWDER AND SOLVENT FOR SOLUTION FOR INJECTION | |||||||
| 126439152 | 12643915 | 3 | C | CIPRALEX | ESCITALOPRAM OXALATE | 1 | UNK | UNK | 0 | ||||||||||
| 126439152 | 12643915 | 4 | C | CITALOPRAM | CITALOPRAM HYDROBROMIDE | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126439152 | 12643915 | 1 | Multiple sclerosis |
| 126439152 | 12643915 | 2 | Multiple sclerosis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126439152 | 12643915 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126439152 | 12643915 | Adverse drug reaction | |
| 126439152 | 12643915 | Chest pain | |
| 126439152 | 12643915 | Heart rate increased | |
| 126439152 | 12643915 | Influenza like illness | |
| 126439152 | 12643915 | Injection site abscess | |
| 126439152 | 12643915 | Middle insomnia | |
| 126439152 | 12643915 | Pain | |
| 126439152 | 12643915 | Palpitations | |
| 126439152 | 12643915 | Panic reaction |
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 |
|---|---|---|---|---|---|---|
| 126439152 | 12643915 | 1 | 20160603 | 0 |