Person who experienced the adverse event (patient)
Event ID | CASE | I F COD | FOLL SEQ | IMAGE | EVENT DT | MFR DT | FDA DT | REPT COD | MFR NUM | MFR SNDR | AGE | AGE COD | GNDR COD | E SUB | WT | WT COD | REPT DT | OCCP COD | DEATH DT | TO MFR | CONFID | REPORTER COUNTRY |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4466783 | 4113159 | F | 1 | 4466783-X | 20040214 | 20040915 | 20040930 | EXP | 200401537 | ALLERGAN | 59 | YR | F | N | 20040928 | CN |
Drug(s) used by person
Event ID | DRUG SEQ | ROLE COD | DRUGNAME | VAL VBM | ROUTE | DOSE VBM | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM |
---|---|---|---|---|---|---|---|---|---|---|---|
4466783 | 1005268317 | PS | BOTOX | 1 | INTRAMUSCULAR | 100 UNITS PRN IM | Y | Y | C0749 | 20041130 | |
4466783 | 1005288593 | C | MONOPRIL | 1 |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
4466783 | 1005268317 | SKIN WRINKLING |
Outcome of event
Event ID | OUTC COD |
---|---|
4466783 | HO |
Reactions reported
Event ID | PT |
---|---|
4466783 | BURNING SENSATION |
4466783 | DYSPNOEA |
4466783 | ERYTHEMA |
4466783 | PRURITUS GENERALISED |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | RPSR COD |
---|---|
4466783 | CSM |
4466783 | HP |
Therapies reported
Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|
4466783 | 1005268317 | 20031003 |