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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6591996 | 7286997 | I | 6591996-0 | 20090824 | 20100221 | PER | US-ALLERGAN-0911750US | ALLERGANFDA | 45 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
6591996 | 1013160595 | PS | BOTOX COSMETIC | 1 | INTRAMUSCULAR | 22 UNITS, SINGLE | C2394 |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
6591996 | 1013160595 | SKIN WRINKLING |
Outcome of event
no results found |
Reactions reported
Event ID | PT |
---|---|
6591996 | DRUG INEFFECTIVE |
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 |
---|---|---|---|---|---|
6591996 | 1013160595 | 20090725 | 20090725 | 1 | DAY |