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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 115006642 | 11500664 | 2 | F | 20160919 | 20150914 | 20160921 | EXP | CA-ROCHE-1631724 | ROCHE | 31.00 | YR | F | Y | 71.00000 | KG | 20160921 | CN | CA | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 115006642 | 11500664 | 1 | PS | CLONAZEPAM. | CLONAZEPAM | 1 | Unknown | D | 17533 | TABLET | |||||||||
| 115006642 | 11500664 | 2 | SS | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Unknown | D | 0 | ||||||||||
| 115006642 | 11500664 | 3 | SS | BOTULINUM TOXIN TYPE A | BOTULINUM TOXIN TYPE A | 1 | Unknown | D | 0 | ||||||||||
| 115006642 | 11500664 | 4 | SS | KEPPRA | LEVETIRACETAM | 1 | Unknown | D | 0 | TABLET | |||||||||
| 115006642 | 11500664 | 5 | SS | REMICADE | INFLIXIMAB | 1 | Intravenous (not otherwise specified) | D | 0 | 400 | MG | ||||||||
| 115006642 | 11500664 | 6 | SS | SEROQUEL | QUETIAPINE FUMARATE | 1 | Unknown | D | 0 | TABLET | |||||||||
| 115006642 | 11500664 | 7 | SS | HYDROCORTISONE. | HYDROCORTISONE | 1 | Unknown | D | 0 | ||||||||||
| 115006642 | 11500664 | 8 | SS | DIPHENHYDRAMINE. | DIPHENHYDRAMINE | 1 | Unknown | D | 0 | ||||||||||
| 115006642 | 11500664 | 9 | SS | XEOMIN | INCOBOTULINUMTOXINA | 1 | Intramuscular | FREQUENCY/THERAPY DURATION: ONCE | D | 0 | 1X |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 115006642 | 11500664 | 1 | Product used for unknown indication |
| 115006642 | 11500664 | 2 | Premedication |
| 115006642 | 11500664 | 3 | Migraine |
| 115006642 | 11500664 | 4 | Seizure |
| 115006642 | 11500664 | 5 | Crohn's disease |
| 115006642 | 11500664 | 6 | Seizure |
| 115006642 | 11500664 | 7 | Premedication |
| 115006642 | 11500664 | 8 | Product used for unknown indication |
| 115006642 | 11500664 | 9 | Migraine |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 115006642 | 11500664 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 115006642 | 11500664 | Influenza like illness | |
| 115006642 | 11500664 | Maternal exposure during pregnancy | |
| 115006642 | 11500664 | Off label use |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |