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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 114872425 | 11487242 | 5 | F | 2009 | 20160818 | 20150910 | 20160830 | EXP | US-BAYER-2015-418135 | BAYER | 25.00 | YR | A | F | Y | 113.38000 | KG | 20160830 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 114872425 | 11487242 | 1 | PS | MIRENA | LEVONORGESTREL | 1 | Intra-uterine | 20 MCG/24HR, CONT | 81077B | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM | ||||||
| 114872425 | 11487242 | 2 | C | PROZAC | FLUOXETINE HYDROCHLORIDE | 1 | Oral | 60 MG, QD | 0 | 60 | MG | QD | |||||||
| 114872425 | 11487242 | 3 | C | CLONAZEPAM. | CLONAZEPAM | 1 | Oral | 1 MG, TID | 0 | 1 | MG | TID | |||||||
| 114872425 | 11487242 | 4 | C | CLONAZEPAM. | CLONAZEPAM | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 5 | C | VICODIN | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | Oral | UNK UNK, PRN | 0 | ||||||||||
| 114872425 | 11487242 | 6 | C | ATIVAN | LORAZEPAM | 1 | Oral | 0 | |||||||||||
| 114872425 | 11487242 | 7 | C | DEMEROL | MEPERIDINE HYDROCHLORIDE | 1 | Oral | 0 | |||||||||||
| 114872425 | 11487242 | 8 | C | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Oral | 0 | |||||||||||
| 114872425 | 11487242 | 9 | C | MORPHINE | MORPHINE | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 10 | C | FIORICET | ACETAMINOPHENBUTALBITALCAFFEINE | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 11 | C | DIFLUCAN | FLUCONAZOLE | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 12 | C | KETOROLAC | KETOROLACKETOROLAC TROMETHAMINE | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 13 | C | TORADOL | KETOROLAC TROMETHAMINE | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 14 | C | XANAX | ALPRAZOLAM | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 15 | C | AMITRIPTYLINE | AMITRIPTYLINE | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 16 | C | ALEVE | NAPROXEN SODIUM | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 17 | C | IBUPROFEN. | IBUPROFEN | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 18 | C | NAPROXEN. | NAPROXEN | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 19 | C | LASIX | FUROSEMIDE | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 20 | C | ULTRAM | TRAMADOL HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 21 | C | LIDODERM | LIDOCAINE | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 22 | C | ALPRAZOLAM. | ALPRAZOLAM | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 23 | C | FLUOXETINE | FLUOXETINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 24 | C | FLAGYL | METRONIDAZOLEMETRONIDAZOLE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 25 | C | BUSPAR | BUSPIRONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 26 | C | DECADRON | DEXAMETHASONE | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 27 | C | GABAPENTIN. | GABAPENTIN | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 28 | C | PERCOCET | ACETAMINOPHENOXYCODONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 29 | C | CIPRO | CIPROFLOXACIN HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 114872425 | 11487242 | 30 | C | AZITHROMYCIN ANHYDROUS. | AZITHROMYCIN ANHYDROUS | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 114872425 | 11487242 | 1 | Contraception |
| 114872425 | 11487242 | 3 | Anxiety |
| 114872425 | 11487242 | 4 | Depression |
| 114872425 | 11487242 | 5 | Headache |
| 114872425 | 11487242 | 28 | Pain |
| 114872425 | 11487242 | 29 | Infection |
| 114872425 | 11487242 | 30 | Infection |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 114872425 | 11487242 | OT |
| 114872425 | 11487242 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 114872425 | 11487242 | Benign intracranial hypertension | |
| 114872425 | 11487242 | Device issue | |
| 114872425 | 11487242 | Embedded device | |
| 114872425 | 11487242 | Emotional distress | |
| 114872425 | 11487242 | Fibromyalgia | |
| 114872425 | 11487242 | Injury | |
| 114872425 | 11487242 | Migraine | |
| 114872425 | 11487242 | Ovarian cyst | |
| 114872425 | 11487242 | Pain |
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 |
|---|---|---|---|---|---|---|
| 114872425 | 11487242 | 1 | 20081111 | 20121024 | 0 |