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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5876495 | 6768236 | I | 5876495-3 | 20071107 | 20071112 | 20080818 | PER | 20074254 | MEDTRONIC NEUROMODULATION | 33 | YR | M | N | 20071116 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5876495 | 1010424682 | PS | LIORESAL | 1 | INTRATHECAL | DAILY, INTRATHECAL | D | D | 20075 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5876495 | 1010424682 | MUSCLE SPASTICITY |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5876495 | HO |
| 5876495 | RI |
Reactions reported
| Event ID | PT |
|---|---|
| 5876495 | CONSTIPATION |
| 5876495 | HYPERTONIA |
| 5876495 | WITHDRAWAL SYNDROME |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5876495 | CSM |
| 5876495 | HP |
Therapies reported
| no results found |