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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4633443 | 5916010 | I | 4633443-1 | 20050309 | 20050326 | 20050408 | EXP | 25 | MEDICIS PHARMACEUTICAL CORPORATION | 11 | YR | F | N | 159 | LBS | 20050406 | UNITED STATES |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4633443 | 1005870909 | PS | DYNACIN 100 MG TABLETS | 2 | ORAL | 100 MG BID PO | N | D | 040257-A | 20050531 | 65131 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4633443 | 1005870909 | ACNE |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4633443 | HO |
| 4633443 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4633443 | BENIGN INTRACRANIAL HYPERTENSION |
| 4633443 | DEHYDRATION |
| 4633443 | DIPLOPIA |
| 4633443 | HEADACHE |
| 4633443 | HYPOAESTHESIA |
| 4633443 | PAPILLOEDEMA |
| 4633443 | STRABISMUS |
| 4633443 | VOMITING |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4633443 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4633443 | 1005870909 | 20050302 | 20050314 |