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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127621441 | 12762144 | 1 | I | 201603 | 20160906 | 20160920 | 20160920 | PER | US-EMD SERONO-8106751 | EMD SERONO INC | 45.00 | YR | F | Y | 0.00000 | 20160920 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127621441 | 12762144 | 1 | PS | REBIF | INTERFERON BETA-1A | 1 | Subcutaneous | U | 103780 | INJECTION | |||||||||
| 127621441 | 12762144 | 2 | SS | AVONEX | INTERFERON BETA-1A | 1 | U | 0 | |||||||||||
| 127621441 | 12762144 | 3 | SS | TECFIDERA | DIMETHYL FUMARATE | 1 | U | 0 | |||||||||||
| 127621441 | 12762144 | 4 | SS | COPAXONE | GLATIRAMER ACETATE | 1 | U | 0 | |||||||||||
| 127621441 | 12762144 | 5 | SS | AMPYRA | DALFAMPRIDINE | 1 | Oral | U | 0 | 10 | UG | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127621441 | 12762144 | 1 | Multiple sclerosis |
| 127621441 | 12762144 | 2 | Multiple sclerosis |
| 127621441 | 12762144 | 3 | Multiple sclerosis |
| 127621441 | 12762144 | 4 | Multiple sclerosis |
| 127621441 | 12762144 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127621441 | 12762144 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127621441 | 12762144 | Adverse drug reaction | |
| 127621441 | 12762144 | Flushing | |
| 127621441 | 12762144 | Multiple sclerosis relapse |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |