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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 103313863 | 10331386 | 3 | F | 201005 | 20160916 | 20140722 | 20160922 | EXP | US-BAYER-2014-107154 | BAYER | 30.00 | YR | A | F | Y | 79.37000 | KG | 20160922 | LW | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 103313863 | 10331386 | 1 | PS | MIRENA | LEVONORGESTREL | 1 | Intra-uterine | 20 MCG/24HR, CONT | N | 72204B | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM | |||||
| 103313863 | 10331386 | 2 | C | VENTOLIN | ALBUTEROL SULFATE | 1 | 0 | ||||||||||||
| 103313863 | 10331386 | 3 | C | SINGULAIR | MONTELUKAST SODIUM | 1 | 0 | ||||||||||||
| 103313863 | 10331386 | 4 | C | ALBUTEROL. | ALBUTEROL | 1 | 0 | ||||||||||||
| 103313863 | 10331386 | 5 | C | ATROVENT | IPRATROPIUM BROMIDE | 1 | 0 | ||||||||||||
| 103313863 | 10331386 | 6 | C | QVAR | BECLOMETHASONE DIPROPIONATE | 1 | 0 | ||||||||||||
| 103313863 | 10331386 | 7 | C | DEPAKOTE | DIVALPROEX SODIUM | 1 | 0 | ||||||||||||
| 103313863 | 10331386 | 8 | C | CLEOCIN | CLINDAMYCIN PHOSPHATE | 1 | 0 | ||||||||||||
| 103313863 | 10331386 | 9 | C | SEPTRA DS | SULFAMETHOXAZOLETRIMETHOPRIM | 1 | 0 | ||||||||||||
| 103313863 | 10331386 | 10 | C | CEPHALEXIN. | CEPHALEXIN | 1 | 500 MG, UNK | 0 | 500 | MG | |||||||||
| 103313863 | 10331386 | 11 | C | ZITHROMAX | AZITHROMYCIN DIHYDRATE | 1 | 0 | ||||||||||||
| 103313863 | 10331386 | 12 | C | COLACE | DOCUSATE SODIUM | 1 | 0 | ||||||||||||
| 103313863 | 10331386 | 13 | C | IBUPROFEN. | IBUPROFEN | 1 | 0 | ||||||||||||
| 103313863 | 10331386 | 14 | C | PERCOCET | ACETAMINOPHENOXYCODONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 103313863 | 10331386 | 15 | C | VANCOMYCIN | VANCOMYCIN | 1 | 0 | ||||||||||||
| 103313863 | 10331386 | 16 | C | KEFLEX | CEPHALEXIN | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 103313863 | 10331386 | 1 | Contraception |
| 103313863 | 10331386 | 11 | Bronchitis |
| 103313863 | 10331386 | 12 | Arthralgia |
| 103313863 | 10331386 | 13 | Arthralgia |
| 103313863 | 10331386 | 14 | Arthralgia |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 103313863 | 10331386 | HO |
| 103313863 | 10331386 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 103313863 | 10331386 | Anxiety | |
| 103313863 | 10331386 | Cystitis | |
| 103313863 | 10331386 | Depression | |
| 103313863 | 10331386 | Device difficult to use | |
| 103313863 | 10331386 | Device issue | |
| 103313863 | 10331386 | Device use issue | |
| 103313863 | 10331386 | Dysmenorrhoea | |
| 103313863 | 10331386 | Embedded device | |
| 103313863 | 10331386 | Feeling abnormal | |
| 103313863 | 10331386 | Injury | |
| 103313863 | 10331386 | Medical device pain | |
| 103313863 | 10331386 | Menorrhagia | |
| 103313863 | 10331386 | Post procedural discomfort | |
| 103313863 | 10331386 | Procedural pain |
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 |
|---|---|---|---|---|---|---|
| 103313863 | 10331386 | 1 | 20071128 | 20121206 | 0 |