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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6591998 | 7286999 | F | 6591998-4 | 20091006 | 20100221 | EXP | US-ALLERGAN-0911675US | ALLERGANFDA | 65 | YR | M | Y | 74.83 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
6591998 | 1013160597 | PS | BOTOX | 1 | INTRAMUSCULAR | 200 UNITS, SINGLE | |||||
6591998 | 1013160598 | SS | BOTOX | 1 | 60 UNITS, SINGLE |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
6591998 | 1013160597 | HEADACHE |
Outcome of event
Event ID | OUTC COD |
---|---|
6591998 | OT |
Reactions reported
Event ID | PT |
---|---|
6591998 | MUSCULAR WEAKNESS |
6591998 | NECK 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 |
---|---|---|---|---|---|
6591998 | 1013160597 | 20090728 | 20090728 | 1 | DAY |
6591998 | 1013160598 | 20010101 | 20010101 | 1 | DAY |