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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 116323053 | 11632305 | 3 | F | 201210 | 20160706 | 20151015 | 20160715 | PER | US-BAYER-2015-443695 | BAYER | 21.00 | YR | A | F | Y | 48.98000 | KG | 20160715 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 116323053 | 11632305 | 1 | PS | MIRENA | LEVONORGESTREL | 1 | Intra-uterine | 20 MCG/24HR, CONT | N | TU00CZP | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM | |||||
| 116323053 | 11632305 | 2 | C | DEPO-PROVERA | MEDROXYPROGESTERONE ACETATE | 1 | UNK | 0 | |||||||||||
| 116323053 | 11632305 | 3 | C | CELEXA | CITALOPRAM HYDROBROMIDE | 1 | 20 MG, UNK | 0 | 20 | MG | |||||||||
| 116323053 | 11632305 | 4 | C | PROVENTIL | ALBUTEROL | 1 | 90 UNK, UNK | 0 | |||||||||||
| 116323053 | 11632305 | 5 | C | ACYCLOVIR [ACICLOVIR] | ACYCLOVIR | 1 | 400 MG, UNK | 0 | 400 | MG | |||||||||
| 116323053 | 11632305 | 6 | C | IBUPROFEN. | IBUPROFEN | 1 | 400 MG, UNK | 0 | 400 | MG | |||||||||
| 116323053 | 11632305 | 7 | C | ETHINYLESTRADIOL W/NORETHISTERONE ACETATE | 2 | 0 | |||||||||||||
| 116323053 | 11632305 | 8 | C | LOESTRIN NOS | ETHINYL ESTRADIOLNORETHINDRONE ACETATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 116323053 | 11632305 | 1 | Contraception |
| 116323053 | 11632305 | 3 | Anxiety |
| 116323053 | 11632305 | 4 | Asthma |
| 116323053 | 11632305 | 5 | Genital herpes |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 116323053 | 11632305 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 116323053 | 11632305 | Anger | |
| 116323053 | 11632305 | Anxiety | |
| 116323053 | 11632305 | Asthenia | |
| 116323053 | 11632305 | Crying | |
| 116323053 | 11632305 | Depression | |
| 116323053 | 11632305 | Embedded device | |
| 116323053 | 11632305 | Emotional distress | |
| 116323053 | 11632305 | General physical health deterioration | |
| 116323053 | 11632305 | Genital haemorrhage | |
| 116323053 | 11632305 | Hypoaesthesia | |
| 116323053 | 11632305 | Injury | |
| 116323053 | 11632305 | Loss of libido | |
| 116323053 | 11632305 | Malaise | |
| 116323053 | 11632305 | Menorrhagia | |
| 116323053 | 11632305 | Mood altered | |
| 116323053 | 11632305 | Pain | |
| 116323053 | 11632305 | Pallor | |
| 116323053 | 11632305 | Tremor |
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 |
|---|---|---|---|---|---|---|
| 116323053 | 11632305 | 1 | 20121001 | 20130425 | 0 | |
| 116323053 | 11632305 | 2 | 201206 | 201209 | 0 |