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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 112231603 | 11223160 | 3 | F | 20140905 | 20160812 | 20150626 | 20160817 | EXP | DK-DKMA-EFO12349 | DK-ALLERGAN-1511829US | ALLERGAN | 45.00 | YR | F | Y | 50.00000 | KG | 20160817 | CN | DK | DK |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 112231603 | 11223160 | 1 | PS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 55 UNITS, SINGLE | 103000 | POWDER FOR INJECTION | QD | ||||||||
| 112231603 | 11223160 | 2 | C | LEVAXIN | LEVOTHYROXINE SODIUM | 1 | U | 0 | |||||||||||
| 112231603 | 11223160 | 3 | C | ETALPHA | ALFACALCIDOL | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 112231603 | 11223160 | 1 | Skin cosmetic procedure |
| 112231603 | 11223160 | 2 | Myxoedema |
| 112231603 | 11223160 | 3 | Calcium metabolism disorder |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 112231603 | 11223160 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 112231603 | 11223160 | Anxiety | |
| 112231603 | 11223160 | Confusional state | |
| 112231603 | 11223160 | Dizziness | |
| 112231603 | 11223160 | Dry eye | |
| 112231603 | 11223160 | Dry mouth | |
| 112231603 | 11223160 | Ear discomfort | |
| 112231603 | 11223160 | Headache | |
| 112231603 | 11223160 | Memory impairment | |
| 112231603 | 11223160 | Nervous system disorder | |
| 112231603 | 11223160 | Strabismus | |
| 112231603 | 11223160 | Visual impairment |
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 |
|---|---|---|---|---|---|---|
| 112231603 | 11223160 | 1 | 20140905 | 20140905 | 0 | |
| 112231603 | 11223160 | 2 | 20100120 | 0 | ||
| 112231603 | 11223160 | 3 | 20100120 | 0 |