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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 105714644 | 10571464 | 4 | F | 201201 | 20160816 | 20141107 | 20160826 | PER | US-BAYER-2014-163070 | BAYER | 25.00 | YR | A | F | Y | 0.00000 | 20160826 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 105714644 | 10571464 | 1 | PS | MIRENA | LEVONORGESTREL | 1 | Intra-uterine | 20 MCG/24HR, CONT | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM | |||||||
| 105714644 | 10571464 | 2 | C | TYLENOL [DIPHENHYDRAMINE HYDROCHLORIDE,PARACETAMOL] | ACETAMINOPHENDIPHENHYDRAMINE HYDROCHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 105714644 | 10571464 | 1 | Contraception |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 105714644 | 10571464 | HO |
| 105714644 | 10571464 | LT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 105714644 | 10571464 | Cardiac disorder | |
| 105714644 | 10571464 | Device issue | |
| 105714644 | 10571464 | Injury | |
| 105714644 | 10571464 | Lung disorder | |
| 105714644 | 10571464 | Pain | |
| 105714644 | 10571464 | Renal disorder | |
| 105714644 | 10571464 | Salpingo-oophoritis | |
| 105714644 | 10571464 | Septic shock | |
| 105714644 | 10571464 | Uterine infection | |
| 105714644 | 10571464 | Uterine perforation |
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 |
|---|---|---|---|---|---|---|
| 105714644 | 10571464 | 1 | 201111 | 20120114 | 0 |