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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6592256 | 7287244 | I | 6592256-4 | 20090910 | 20090921 | 20100221 | PER | US-ALLERGAN-0913133US | ALLERGANFDA | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
6592256 | 1013161028 | PS | BOTOX COSMETIC | 1 | INTRAMUSCULAR | 40 UNITS, SINGLE | C2374 |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
6592256 | 1013161028 | SKIN WRINKLING |
Outcome of event
no results found |
Reactions reported
Event ID | PT |
---|---|
6592256 | LACRIMATION INCREASED |
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 |
---|---|---|---|---|---|
6592256 | 1013161028 | 20090910 | 20090910 | 1 | DAY |