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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 110897114 | 11089711 | 4 | F | 20120822 | 20160829 | 20150505 | 20160831 | PER | US-BAYER-2015-183151 | BAYER | 24.00 | YR | A | F | Y | 37.43000 | KG | 20160831 | LW | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 110897114 | 11089711 | 1 | PS | MIRENA | LEVONORGESTREL | 1 | Intra-uterine | 20 MCG/24HR, CONT | TU00EP3 | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM | ||||||
| 110897114 | 11089711 | 2 | C | VALIUM NOVUM | DIAZEPAM | 1 | 0 | ||||||||||||
| 110897114 | 11089711 | 3 | C | PRENATAL VITAMINS [VIT C,B5,B12,D2,B3,B6,RETINOL PALMIT,B2,B1 MONO | 2 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 110897114 | 11089711 | 1 | Contraception |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 110897114 | 11089711 | LT |
| 110897114 | 11089711 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 110897114 | 11089711 | Abdominal pain lower | |
| 110897114 | 11089711 | Device issue | |
| 110897114 | 11089711 | Device use issue | |
| 110897114 | 11089711 | General physical health deterioration | |
| 110897114 | 11089711 | Injury | |
| 110897114 | 11089711 | Pelvic pain | |
| 110897114 | 11089711 | 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 |
|---|---|---|---|---|---|---|
| 110897114 | 11089711 | 1 | 20120807 | 20120830 | 0 |