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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 105246882 | 10524688 | 2 | F | 2013 | 20160818 | 20141017 | 20160824 | EXP | US-BAYER-2014-150076 | BAYER | 26.00 | YR | A | F | Y | 0.00000 | 20160824 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 105246882 | 10524688 | 1 | PS | MIRENA | LEVONORGESTREL | 1 | Intra-uterine | 20 MCG/24HR, CONT | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM | |||||||
| 105246882 | 10524688 | 2 | C | ADIPEX-P | PHENTERMINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 105246882 | 10524688 | 3 | C | LORTAB | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | 0 | ||||||||||||
| 105246882 | 10524688 | 4 | C | XANAX | ALPRAZOLAM | 1 | 0 | ||||||||||||
| 105246882 | 10524688 | 5 | C | ORTHO CYCLEN | ETHINYL ESTRADIOLNORGESTIMATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 105246882 | 10524688 | 1 | Contraception |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 105246882 | 10524688 | LT |
| 105246882 | 10524688 | DS |
| 105246882 | 10524688 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 105246882 | 10524688 | Abdominal adhesions | |
| 105246882 | 10524688 | Abdominal pain upper | |
| 105246882 | 10524688 | Anhedonia | |
| 105246882 | 10524688 | Anxiety | |
| 105246882 | 10524688 | Back pain | |
| 105246882 | 10524688 | Colitis | |
| 105246882 | 10524688 | Deformity | |
| 105246882 | 10524688 | Device defective | |
| 105246882 | 10524688 | Emotional distress | |
| 105246882 | 10524688 | Fallopian tube enlargement | |
| 105246882 | 10524688 | Fear of disease | |
| 105246882 | 10524688 | Hormone level abnormal | |
| 105246882 | 10524688 | Hysterectomy | |
| 105246882 | 10524688 | Infertility female | |
| 105246882 | 10524688 | Injury | |
| 105246882 | 10524688 | Menorrhagia | |
| 105246882 | 10524688 | Pelvic infection | |
| 105246882 | 10524688 | Pelvic pain | |
| 105246882 | 10524688 | Tenderness | |
| 105246882 | 10524688 | Tubo-ovarian abscess | |
| 105246882 | 10524688 | Urinary tract infection |
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 |
|---|---|---|---|---|---|---|
| 105246882 | 10524688 | 1 | 20081015 | 20130920 | 0 |