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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126530641 | 12653064 | 1 | I | 2008 | 20081119 | 20160815 | 20160815 | EXP | US-EMD SERONO-232086K08USA | EMD SERONO INC | 38.47 | YR | F | Y | 54.00000 | KG | 20160815 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126530641 | 12653064 | 1 | PS | REBIF | INTERFERON BETA-1A | 1 | Subcutaneous | AU01092,AU016518 | 103780 | 44 | UG | INJECTION | TIW | ||||||
| 126530641 | 12653064 | 2 | SS | REBIF | INTERFERON BETA-1A | 1 | Subcutaneous | AU01092,AU016518 | 103780 | 44 | UG | INJECTION | TIW | ||||||
| 126530641 | 12653064 | 3 | SS | REBIF | INTERFERON BETA-1A | 1 | AU01092,AU016518 | 103780 | 44 | UG | INJECTION | TIW | |||||||
| 126530641 | 12653064 | 4 | SS | REBIF | INTERFERON BETA-1A | 1 | Subcutaneous | AU01092,AU016518 | 103780 | 44 | UG | INJECTION | TIW | ||||||
| 126530641 | 12653064 | 5 | C | TYLENOL | ACETAMINOPHEN | 1 | 0 | ||||||||||||
| 126530641 | 12653064 | 6 | C | AMANTADINE | AMANTADINE | 1 | 0 | ||||||||||||
| 126530641 | 12653064 | 7 | C | LIPITOR | ATORVASTATIN CALCIUM | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126530641 | 12653064 | 1 | Multiple sclerosis |
| 126530641 | 12653064 | 5 | Premedication |
| 126530641 | 12653064 | 6 | Product used for unknown indication |
| 126530641 | 12653064 | 7 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126530641 | 12653064 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126530641 | 12653064 | Bipolar II disorder | |
| 126530641 | 12653064 | Depression | |
| 126530641 | 12653064 | Seizure | |
| 126530641 | 12653064 | Stress | |
| 126530641 | 12653064 | Suicidal behaviour | |
| 126530641 | 12653064 | 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 |
|---|---|---|---|---|---|---|
| 126530641 | 12653064 | 1 | 20020510 | 2005 | 0 | |
| 126530641 | 12653064 | 2 | 2005 | 2012 | 0 | |
| 126530641 | 12653064 | 3 | 20140818 | 0 | ||
| 126530641 | 12653064 | 4 | 20141106 | 0 |