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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 111801062 | 11180106 | 2 | F | 20150601 | 20160801 | 20150611 | 20160805 | PER | US-BAYER-2015-306585 | BAYER | 33.00 | YR | A | F | Y | 0.00000 | 20160805 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 111801062 | 11180106 | 1 | PS | MIRENA | LEVONORGESTREL | 1 | Intra-uterine | 20 MCG/24HR, CONT | TU00XPC | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM | ||||||
| 111801062 | 11180106 | 2 | SS | MIRENA | LEVONORGESTREL | 1 | Intra-uterine | 20 MCG/24HR, CONT | TU00ZBS | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 111801062 | 11180106 | 1 | Contraception |
| 111801062 | 11180106 | 2 | Contraception |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 111801062 | 11180106 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 111801062 | 11180106 | Device expulsion | |
| 111801062 | 11180106 | Drug ineffective | |
| 111801062 | 11180106 | 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 |
|---|---|---|---|---|---|---|
| 111801062 | 11180106 | 1 | 20150521 | 20150601 | 0 | |
| 111801062 | 11180106 | 2 | 20150521 | 20160721 | 0 |