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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6591999 | 7283859 | F | 6591999-6 | 20090310 | 20091116 | 20100221 | EXP | US-ALLERGAN-0911694US | ALLERGANFDA | 49 | YR | F | Y | 145.58 | KG | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
6591999 | 1013160599 | PS | BOTOX | 1 | INTRAMUSCULAR | 100 UNITS, SINGLE | C2290 | ||||
6591999 | 1013160600 | SS | BOTOX | 1 | INTRAMUSCULAR | 100 UNK, SINGLE | C2316 | ||||
6591999 | 1013160601 | SS | BOTOX | 1 | INTRAMUSCULAR | 30 UNK, SINGLE | C2312 | ||||
6591999 | 1013160602 | SS | BOTOX | 1 | INTRAMUSCULAR | 100 UNK, SINGLE | |||||
6591999 | 1013160603 | SS | BOTOX | 1 | INTRAMUSCULAR | 100 UNK, SINGLE | |||||
6591999 | 1013160604 | SS | BOTOX | 1 | INTRAMUSCULAR | 100 UNK, SINGLE | |||||
6591999 | 1013160605 | SS | BOTOX | 1 | INTRAMUSCULAR | 100 UNK, SINGLE | |||||
6591999 | 1013160606 | SS | BOTOX | 1 | INTRAMUSCULAR | 100 UNK, SINGLE | |||||
6591999 | 1013160607 | SS | BOTOX | 1 | INTRAMUSCULAR | 100 UNK, SINGLE | C2343 | ||||
6591999 | 1013160608 | C | BIOSOM CDHEA | 2 | 1 SPRAY | ||||||
6591999 | 1013160609 | C | VITAMIN D | 1 | 50000 UNITS, Q WEEK | ||||||
6591999 | 1013160610 | C | PROGESTERONE | 1 | 1 ONCE EACH DAY | ||||||
6591999 | 1013160611 | C | NEURONTIN | 1 | 800 MG, QHS | ||||||
6591999 | 1013160612 | C | NEURONTIN | 1 | 600 MG, BID | ||||||
6591999 | 1013160613 | C | RHINOCORT | 1 | 32 A?G, QHS | ||||||
6591999 | 1013160614 | C | PREVACID | 1 | 30 MG, QAM | ||||||
6591999 | 1013160615 | C | OXYCODONE HCL | 1 | 10 MG, BID | ||||||
6591999 | 1013160616 | C | MIRAPEX | 1 | 1.5 MG, BID | ||||||
6591999 | 1013160617 | C | BUSPAR | 1 | 15 MG, BID | ||||||
6591999 | 1013160618 | C | SKELAXIN | 1 | 800 MG, AS DIR 1/2 IN AM 1/2 IN AFTERNOON, 1 FULL TAB IN PM | ||||||
6591999 | 1013160619 | C | PROVIGIL | 1 | 200 MG, QD | ||||||
6591999 | 1013160620 | C | POTASSIUM CHLORIDE | 1 | 20 MEQ, BID | ||||||
6591999 | 1013160621 | C | LORAZEPAM | 1 | 0.5 MG, 1 EVERY 6 HOURS PRN | ||||||
6591999 | 1013160622 | C | IPRATROPIUM BROMIDE | 1 | 2 SPRAYS | ||||||
6591999 | 1013160623 | C | GEMFIBROZIL | 1 | 600 MG, BID | ||||||
6591999 | 1013160624 | C | FEXOFENADINE HCL | 1 | 180 MG, QHS | ||||||
6591999 | 1013160625 | C | DIOVAN | 1 | 160 MG, QAM | ||||||
6591999 | 1013160626 | C | CYCLOBENZAPRINE HCL | 1 | 10 MG, QHS | ||||||
6591999 | 1013160627 | C | CHLORTHALIDONE | 1 | 25 MG, BID | ||||||
6591999 | 1013160628 | C | PHRENILIN | 1 | 50 MG, AS NEEDED PRN | ||||||
6591999 | 1013160629 | C | TRAMADOL HCL | 1 | 50 MG, 2 EVERY 4 HOURS PRN | ||||||
6591999 | 1013160630 | C | HYDROCODONE BITARTRATE AND ACETAMINOPHEN | 1 | 5/500 1 AS NEEDED PRN |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
6591999 | 1013160599 | MYOFASCIAL PAIN SYNDROME |
6591999 | 1013160600 | TORTICOLLIS |
Outcome of event
Event ID | OUTC COD |
---|---|
6591999 | OT |
Reactions reported
Event ID | PT |
---|---|
6591999 | DRUG INEFFECTIVE |
6591999 | MUSCULAR WEAKNESS |
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 |
---|---|---|---|---|---|
6591999 | 1013160599 | 20090122 | 20090122 | 1 | DAY |
6591999 | 1013160600 | 20090423 | 20090423 | 1 | DAY |
6591999 | 1013160601 | 20090423 | 20090423 | 1 | DAY |
6591999 | 1013160602 | 20070927 | 20070927 | 1 | DAY |
6591999 | 1013160603 | 20071226 | 20071226 | 1 | DAY |
6591999 | 1013160604 | 20080327 | 20080327 | 1 | DAY |
6591999 | 1013160605 | 20080626 | 20080626 | 1 | DAY |
6591999 | 1013160606 | 20080925 | 20080925 | 1 | DAY |
6591999 | 1013160607 | 20090723 | 20090723 | 1 | DAY |
6591999 | 1013160608 | 20080925 | |||
6591999 | 1013160609 | 20080814 | |||
6591999 | 1013160610 | 20080814 | |||
6591999 | 1013160611 | 20080304 | |||
6591999 | 1013160612 | 20030101 | |||
6591999 | 1013160613 | 20070424 | |||
6591999 | 1013160614 | 20070424 | |||
6591999 | 1013160615 | 20070424 | |||
6591999 | 1013160616 | 20070424 | |||
6591999 | 1013160617 | 20070424 | |||
6591999 | 1013160618 | 20030101 | |||
6591999 | 1013160619 | 20030101 | |||
6591999 | 1013160620 | 20030101 | |||
6591999 | 1013160621 | 20030101 | |||
6591999 | 1013160622 | 20030101 | |||
6591999 | 1013160623 | 20030101 | |||
6591999 | 1013160624 | 20030101 | |||
6591999 | 1013160625 | 20030101 | |||
6591999 | 1013160626 | 20030101 | |||
6591999 | 1013160627 | 20030101 | |||
6591999 | 1013160628 | 20070425 | |||
6591999 | 1013160629 | 20070424 | |||
6591999 | 1013160630 | 20070424 |