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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 105733433 | 10573343 | 3 | F | 201407 | 20160629 | 20141110 | 20160711 | PER | US-BAYER-2014-163923 | BAYER | 25.00 | YR | A | F | Y | 0.00000 | 20160711 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 105733433 | 10573343 | 1 | PS | MIRENA | LEVONORGESTREL | 1 | Intra-uterine | 20 MCG/24HR, CONT | 82325A | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM | ||||||
| 105733433 | 10573343 | 2 | SS | MIRENA | LEVONORGESTREL | 1 | 21225 | INTRAUTERINE DELIVERY SYSTEM | |||||||||||
| 105733433 | 10573343 | 3 | C | LEXAPRO | ESCITALOPRAM OXALATE | 1 | Oral | 20 MG, QD | 0 | 20 | MG | QD | |||||||
| 105733433 | 10573343 | 4 | C | VISTARIL | HYDROXYZINE PAMOATE | 1 | 25 MG, ONE CAPSULE EVERY EIGHT HOUR | 0 | 25 | MG | |||||||||
| 105733433 | 10573343 | 5 | C | CLONAZEPAM. | CLONAZEPAM | 1 | 0.5 MG, BID | 0 | .5 | MG | BID | ||||||||
| 105733433 | 10573343 | 6 | C | CAFFEINE. | CAFFEINE | 1 | 0 | ||||||||||||
| 105733433 | 10573343 | 7 | C | DEPO-PROVERA | MEDROXYPROGESTERONE ACETATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 105733433 | 10573343 | 1 | Contraception |
| 105733433 | 10573343 | 2 | Menorrhagia |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 105733433 | 10573343 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 105733433 | 10573343 | Device issue | |
| 105733433 | 10573343 | Injury | |
| 105733433 | 10573343 | Pain | |
| 105733433 | 10573343 | 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 |
|---|---|---|---|---|---|---|
| 105733433 | 10573343 | 1 | 20130923 | 20140908 | 0 | |
| 105733433 | 10573343 | 3 | 20140402 | 0 | ||
| 105733433 | 10573343 | 4 | 20140402 | 0 |