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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
5879074 | 6846183 | I | 5879074-7 | 20071001 | 20071219 | 20080818 | PER | 20074457 | MEDTRONIC NEUROMODULATION | 14 | YR | F | N | 20071228 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
5879074 | 1010434412 | PS | LIORESAL | 1 | INTRATHECAL | 330 MCG, DAILY, INTRATHECAL | D | D | 20075 |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
5879074 | 1010434412 | MUSCLE SPASTICITY |
Outcome of event
Event ID | OUTC COD |
---|---|
5879074 | HO |
5879074 | RI |
Reactions reported
Event ID | PT |
---|---|
5879074 | DRUG WITHDRAWAL SYNDROME |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | RPSR COD |
---|---|
5879074 | HP |
Therapies reported
no results found |