Person who experienced the adverse event (patient)
| Event ID | CASEID | CASEVERSION | I F COD | EVENT DT | MFR DT | INIT FDA DT | FDA DT | REPT COD | AUTH NUM | MFR NUM | MFR SNDR | LIT REF | AGE | AGE COD | AGE GRP | GNDR COD | E SUB | WT | WT COD | REPT DT | TO MFR | OCCP COD | REPORTER COUNTRY | OCCR COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100137124 | 10013712 | 4 | F | 2011 | 20140929 | 20140316 | 20140930 | PER | US-BAYER-2014-037253 | BAYER | 24.00 | YR | A | F | Y | 81.63000 | KG | 20140930 | N | OT | US | US |
Drug(s) used by person
| Event ID | CASEID | DRUG SEQ | ROLE COD | DRUGNAME | PROD AI | VAL VBM | ROUTE | DOSE VBM | CUM DOSE CHR | CUM DOSE UNIT | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM | DOSE AMT | DOSE UNIT | DOSE FORM | DOSE FREQ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100137124 | 10013712 | 1 | PS | MIRENA | LEVONORGESTREL | 1 | INTRAUTERINE | 20 MCG/24HR, CONT | D | TU00076 | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM | |||||
| 100137124 | 10013712 | 2 | SS | MIRENA | LEVONORGESTREL | 1 | INTRAUTERINE | 20 MCG/24HR, CONT | D | TU00076 | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM | |||||
| 100137124 | 10013712 | 3 | C | CELEXA | CITALOPRAM HYDROBROMIDE | 1 | D | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 100137124 | 10013712 | 1 | Contraception |
| 100137124 | 10013712 | 2 | Contraception |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 100137124 | 10013712 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 100137124 | 10013712 | Depression | |
| 100137124 | 10013712 | Device dislocation | |
| 100137124 | 10013712 | Device issue | |
| 100137124 | 10013712 | Drug ineffective | |
| 100137124 | 10013712 | Embedded device | |
| 100137124 | 10013712 | Emotional distress | |
| 100137124 | 10013712 | Injury | |
| 100137124 | 10013712 | Pain | |
| 100137124 | 10013712 | Pregnancy with contraceptive device |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 100137124 | 10013712 | 1 | 20090501 | 20111001 | 0 | |
| 100137124 | 10013712 | 2 | 20090623 | 20110811 | 0 |