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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5636057 | 6570712 | I | 5636057-X | 20080116 | 20080219 | EXP | 2008AL000807 | ACTAVIS MID ATLANTIC LLC | 30 | YR | F | N | 20080215 | OT | UNITED KINGDOM |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5636057 | 1009553601 | PS | FLUOXETINE | 1 | ORAL | PO | D | D | 75690 | ||
| 5636057 | 1009603432 | C | IMPLANON | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5636057 | 1009553601 | DEPRESSION |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5636057 | LT |
| 5636057 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 5636057 | CONTRACEPTIVE DEVICE COMPLICATION |
| 5636057 | DRUG EXPOSURE DURING PREGNANCY |
| 5636057 | DRUG INTERACTION |
| 5636057 | ECTOPIC PREGNANCY |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5636057 | CR |
| 5636057 | FGN |
| 5636057 | HP |
| 5636057 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5636057 | 1009553601 | 20060101 |