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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127464521 | 12746452 | 1 | I | 201607 | 20160708 | 20160915 | 20160915 | EXP | BR-EMD SERONO-8096219 | EMD SERONO INC | 56.29 | YR | M | Y | 55.00000 | KG | 20160915 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127464521 | 12746452 | 1 | PS | REBIF | INTERFERON BETA-1A | 1 | Subcutaneous | INITIAL TITRATION DOSE (UNSPECIFIED) | AU014543 | 103780 | INJECTION | TIW | |||||||
| 127464521 | 12746452 | 2 | SS | REBIF | INTERFERON BETA-1A | 1 | Subcutaneous | FULL DOSE OF REBIF (0.5 ML) | AU014543 | 103780 | 44 | UG | INJECTION | TIW | |||||
| 127464521 | 12746452 | 3 | SS | REBIF | INTERFERON BETA-1A | 1 | Subcutaneous | AU014543 | 103780 | 22 | UG | INJECTION | TIW |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127464521 | 12746452 | 1 | Multiple sclerosis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127464521 | 12746452 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127464521 | 12746452 | Asthenia | |
| 127464521 | 12746452 | Gait disturbance | |
| 127464521 | 12746452 | Multiple sclerosis relapse | |
| 127464521 | 12746452 | Paralysis | |
| 127464521 | 12746452 | Sensory loss | |
| 127464521 | 12746452 | Thirst |
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 |
|---|---|---|---|---|---|---|
| 127464521 | 12746452 | 1 | 20160704 | 0 | ||
| 127464521 | 12746452 | 2 | 20160708 | 0 |