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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6591742 | 7282418 | F | 6591742-0 | 20090524 | 20090710 | 20100221 | PER | US-ALLERGAN-0907937US | ALLERGANFDA | 43 | YR | M | Y | 79.365 | KG | 20100221 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6591742 | 1013160193 | PS | BOTOX | 1 | INTRAMUSCULAR | 200 UNITS, SINGLE | C2343 | ||||
| 6591742 | 1013160194 | SS | BOTOX | 1 | INTRAMUSCULAR | 100 UNITS, SINGLE | C2339 | ||||
| 6591742 | 1013160195 | SS | BOTOX | 1 | INTRAMUSCULAR | 200 UNITS, SINGLE | |||||
| 6591742 | 1013160196 | C | SOMA | 1 | ORAL | 350 MG, TID |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6591742 | 1013160193 | MUSCLE SPASTICITY |
| 6591742 | 1013160196 | BACK PAIN |
Outcome of event
| no results found |
Reactions reported
| Event ID | PT |
|---|---|
| 6591742 | INJECTION SITE OEDEMA |
| 6591742 | INJECTION SITE PAIN |
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 |
|---|---|---|---|---|---|
| 6591742 | 1013160193 | 20090518 | 20090518 | 1 | DAY |
| 6591742 | 1013160194 | 20090518 | 20090518 | 1 | DAY |
| 6591742 | 1013160195 | 20090201 | 20090201 | 1 | DAY |