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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6591745 | 7283019 | F | 6591745-6 | 20090511 | 20090610 | 20100221 | PER | US-ALLERGAN-0906611US | ALLERGANFDA | 47 | YR | F | Y | 20100221 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6591745 | 1013160199 | PS | BOTOX COSMETIC | 1 | INTRAMUSCULAR | 24 UNITS, SINGLE | C2289 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6591745 | 1013160199 | SKIN WRINKLING |
Outcome of event
| no results found |
Reactions reported
| Event ID | PT |
|---|---|
| 6591745 | VISUAL IMPAIRMENT |
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 |
|---|---|---|---|---|---|
| 6591745 | 1013160199 | 20090507 | 20090507 | 1 | DAY |