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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8248788 | 8468426 | F | 8248788-6 | 20120201 | 20120322 | 20120331 | EXP | JP-ALLERGAN-1203795US | ALLERGANFDA | 20 | YR | F | Y | 20120331 | MD | JAPAN |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 8248788 | 1019282894 | SS | BOTOX | 1 | INTRAMUSCULAR | 30 UNITS, LEFT SPLENIUS MUSCLE | |||||
| 8248788 | 1019282895 | SS | BOTOX | 1 | INTRAMUSCULAR | 30 UNITS, RIGHT SPLENIUS MUSCLE | |||||
| 8248788 | 1019282896 | SS | BOTOX | 1 | INTRAMUSCULAR | 30 UNITS, TRAPEZIUS MUSCLE | |||||
| 8248788 | 1019282893 | SS | BOTOX | 1 | INTRAMUSCULAR | 30 UNITS, RIGHT TRAPEZIUS MUSCLE | |||||
| 8248788 | 1019282897 | C | DEPAKENE | 1 | ORAL | 3 SEPARATE DOSES PER DAY | |||||
| 8248788 | 1019282900 | C | TIZANIDINE HCL | 1 | ORAL | 3 SEPERATE DOSES PER DAY | |||||
| 8248788 | 1019282892 | PS | BOTOX | 1 | INTRAMUSCULAR | 10 UNITS, LEFT STERNOCLEIDOMASTOID MUSCLE | |||||
| 8248788 | 1019282898 | C | DIAMOX | 1 | ORAL | 3 SEPARATE DOSES PER DAY | |||||
| 8248788 | 1019282899 | C | NITRAZEPAM | 1 | ORAL | 3 SEPERATE DOSES PER DAY |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 8248788 | 1019282897 | PRODUCT USED FOR UNKNOWN INDICATION |
| 8248788 | 1019282900 | PRODUCT USED FOR UNKNOWN INDICATION |
| 8248788 | 1019282892 | TORTICOLLIS |
| 8248788 | 1019282898 | PRODUCT USED FOR UNKNOWN INDICATION |
| 8248788 | 1019282899 | PRODUCT USED FOR UNKNOWN INDICATION |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 8248788 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 8248788 | PNEUMONIA |
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 |
|---|---|---|---|---|---|
| 8248788 | 1019282894 | 20120127 | 20120127 | 1 | DAY |
| 8248788 | 1019282896 | 20120127 | 20120127 | 1 | DAY |
| 8248788 | 1019282893 | 20120127 | 20120127 | 1 | DAY |
| 8248788 | 1019282892 | 20120127 | 20120127 | 1 | DAY |