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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5976722 | 6788268 | F | 5976722-8 | 20080919 | 20081125 | 20081203 | EXP | FR-ALLERGAN-0812858US | ALLERGANFDA | F | Y | 50 | KG | 20081203 | MD | FRANCE |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5976722 | 1010788866 | PS | VISTABEL | 1 | INTRAMUSCULAR | 20 UNITS, SINGLE | C2166 | ||||
| 5976722 | 1010788867 | SS | VISTABEL | 1 | INTRAMUSCULAR | UNK, SINGLE | |||||
| 5976722 | 1010788868 | SS | VISTABEL | 1 | INTRAMUSCULAR | UNK, SINGLE |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5976722 | 1010788866 | SKIN WRINKLING |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5976722 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 5976722 | ANGIOEDEMA |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5976722 | 1010788866 | 20080915 | 20080915 | 1 | DAY |
| 5976722 | 1010788867 | 20080515 | 20080515 | 1 | DAY |
| 5976722 | 1010788868 | 1 | DAY |