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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 105716412 | 10571641 | 2 | F | 2013 | 20160803 | 20141107 | 20160815 | PER | US-BAYER-2014-163188 | BAYER | 36.00 | YR | A | F | Y | 0.00000 | 20160815 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 105716412 | 10571641 | 1 | PS | MIRENA | LEVONORGESTREL | 1 | Intra-uterine | 20 MCG/24HR, UNK | TU00D8L | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM | ||||||
| 105716412 | 10571641 | 2 | C | DOXY [DOXYCYCLINE] | 2 | 0 | |||||||||||||
| 105716412 | 10571641 | 3 | C | FLAGYL | METRONIDAZOLEMETRONIDAZOLE HYDROCHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 105716412 | 10571641 | 1 | Contraception |
| 105716412 | 10571641 | 2 | Infection |
| 105716412 | 10571641 | 3 | Infection |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 105716412 | 10571641 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 105716412 | 10571641 | Anxiety | |
| 105716412 | 10571641 | Depression | |
| 105716412 | 10571641 | Device difficult to use | |
| 105716412 | 10571641 | Drug ineffective | |
| 105716412 | 10571641 | Embedded device | |
| 105716412 | 10571641 | Emotional distress | |
| 105716412 | 10571641 | Injury | |
| 105716412 | 10571641 | Medical device discomfort | |
| 105716412 | 10571641 | Medical device pain | |
| 105716412 | 10571641 | 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 |
|---|---|---|---|---|---|---|
| 105716412 | 10571641 | 1 | 20120828 | 0 |