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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 117638865 | 11763886 | 5 | F | 20150119 | 20160712 | 20151121 | 20160715 | PER | US-009507513-1511USA003454 | MERCK | 23.53 | YR | F | Y | 73.48000 | KG | 20160715 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 117638865 | 11763886 | 1 | PS | IMPLANON | ETONOGESTREL | 1 | Subdermal | UNK | 21529 | IMPLANT | |||||||||
| 117638865 | 11763886 | 2 | SS | IMPLANON | ETONOGESTREL | 1 | Subdermal | UNK | 21529 | IMPLANT |
Indications of drugs used
| no results found |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 117638865 | 11763886 | Complication associated with device | |
| 117638865 | 11763886 | Device deployment issue | |
| 117638865 | 11763886 | Implant site scar | |
| 117638865 | 11763886 | Incorrect drug administration duration | |
| 117638865 | 11763886 | Surgery |
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 |
|---|---|---|---|---|---|---|
| 117638865 | 11763886 | 1 | 20120118 | 0 |