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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127163001 | 12716300 | 1 | I | 2010 | 20120915 | 20160906 | 20160906 | EXP | US-EMD SERONO-7161840 | EMD SERONO INC | 0.00 | F | Y | 0.00000 | 20160906 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127163001 | 12716300 | 1 | PS | REBIF | INTERFERON BETA-1A | 1 | Subcutaneous | AU003175,AU004141 | 103780 | 44 | UG | INJECTION | TIW | ||||||
| 127163001 | 12716300 | 2 | C | DIOVAN | VALSARTAN | 1 | 0 | ||||||||||||
| 127163001 | 12716300 | 3 | C | CARDIZEM LA | DILTIAZEM HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 127163001 | 12716300 | 4 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 127163001 | 12716300 | 5 | C | CRESTOR | ROSUVASTATIN CALCIUM | 1 | 0 | ||||||||||||
| 127163001 | 12716300 | 6 | C | CLONAZEPAM. | CLONAZEPAM | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127163001 | 12716300 | 1 | Multiple sclerosis |
| 127163001 | 12716300 | 2 | Hypertension |
| 127163001 | 12716300 | 3 | Hypertension |
| 127163001 | 12716300 | 4 | Diabetes mellitus |
| 127163001 | 12716300 | 5 | Hypercholesterolaemia |
| 127163001 | 12716300 | 6 | Sleep disorder |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127163001 | 12716300 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127163001 | 12716300 | Bladder disorder | |
| 127163001 | 12716300 | Brain neoplasm | |
| 127163001 | 12716300 | Cataract | |
| 127163001 | 12716300 | Cerebral cyst | |
| 127163001 | 12716300 | Chest pain | |
| 127163001 | 12716300 | Fatigue | |
| 127163001 | 12716300 | Gastric neoplasm | |
| 127163001 | 12716300 | Macular degeneration | |
| 127163001 | 12716300 | Optic neuritis | |
| 127163001 | 12716300 | Sensitivity to weather change |
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 |
|---|---|---|---|---|---|---|
| 127163001 | 12716300 | 1 | 20070625 | 0 |