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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 109904812 | 10990481 | 2 | F | 201305 | 20160902 | 20150406 | 20160909 | PER | US-BAYER-2015-094333 | BAYER | 33.00 | YR | A | F | Y | 98.87000 | KG | 20160909 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 109904812 | 10990481 | 1 | PS | MIRENA | LEVONORGESTREL | 1 | Intra-uterine | 20 MCG/24HR, CONT | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM | |||||||
| 109904812 | 10990481 | 2 | C | VITAMIN C | ASCORBIC ACID | 1 | 0 | ||||||||||||
| 109904812 | 10990481 | 3 | C | HYDROCHLOROTHIAZIDE. | HYDROCHLOROTHIAZIDE | 1 | 0 | ||||||||||||
| 109904812 | 10990481 | 4 | C | KEFLEX | CEPHALEXIN | 1 | 0 | ||||||||||||
| 109904812 | 10990481 | 5 | C | PRENATAL VITAMINS | VITAMINS | 1 | 0 | ||||||||||||
| 109904812 | 10990481 | 6 | C | CLINDAMYCIN PHOSPHATE. | CLINDAMYCIN PHOSPHATE | 1 | 0 | ||||||||||||
| 109904812 | 10990481 | 7 | C | DIFLUCAN | FLUCONAZOLE | 1 | 0 | ||||||||||||
| 109904812 | 10990481 | 8 | C | MEDROL | METHYLPREDNISOLONE | 1 | 0 | ||||||||||||
| 109904812 | 10990481 | 9 | C | IBUPROFEN. | IBUPROFEN | 1 | 0 | ||||||||||||
| 109904812 | 10990481 | 10 | C | COLACE | DOCUSATE SODIUM | 1 | 0 | ||||||||||||
| 109904812 | 10990481 | 11 | C | ANUSOL [STARCH] | 2 | 0 | |||||||||||||
| 109904812 | 10990481 | 12 | C | WELLBUTRIN | BUPROPION HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 109904812 | 10990481 | 13 | C | PROCARDIA | NIFEDIPINE | 1 | 0 | ||||||||||||
| 109904812 | 10990481 | 14 | C | LORTAB | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | UNK | 0 | |||||||||||
| 109904812 | 10990481 | 15 | C | SPIRONOLACTONE. | SPIRONOLACTONE | 1 | UNK | 0 | |||||||||||
| 109904812 | 10990481 | 16 | C | METRONIDAZOLE. | METRONIDAZOLE | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 109904812 | 10990481 | 1 | Contraception |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 109904812 | 10990481 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 109904812 | 10990481 | Anxiety | |
| 109904812 | 10990481 | Depression | |
| 109904812 | 10990481 | Device difficult to use | |
| 109904812 | 10990481 | Device dislocation | |
| 109904812 | 10990481 | Device issue | |
| 109904812 | 10990481 | Emotional distress | |
| 109904812 | 10990481 | Injury | |
| 109904812 | 10990481 | Pain | |
| 109904812 | 10990481 | 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 |
|---|---|---|---|---|---|---|
| 109904812 | 10990481 | 1 | 20090923 | 20131025 | 0 | |
| 109904812 | 10990481 | 14 | 2000 | 0 | ||
| 109904812 | 10990481 | 15 | 2000 | 0 | ||
| 109904812 | 10990481 | 16 | 2000 | 0 |