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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 117838863 | 11783886 | 3 | F | 201511 | 20160627 | 20151127 | 20160701 | EXP | US-ALLERGAN-1524834US | ALLERGAN | 42.00 | YR | F | Y | 65.76000 | KG | 20160630 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 117838863 | 11783886 | 1 | PS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | UNK, SINGLE | 103000 | POWDER FOR INJECTION | QD | ||||||||
| 117838863 | 11783886 | 2 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | 103000 | POWDER FOR INJECTION | |||||||||||
| 117838863 | 11783886 | 3 | C | DEPO-PROVERA | MEDROXYPROGESTERONE ACETATE | 1 | 4 TIMES A YEAR | U | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 117838863 | 11783886 | 1 | Tremor |
| 117838863 | 11783886 | 2 | Tremor |
| 117838863 | 11783886 | 3 | Contraception |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 117838863 | 11783886 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 117838863 | 11783886 | Abdominal pain upper | |
| 117838863 | 11783886 | Off label use | |
| 117838863 | 11783886 | Urinary retention | |
| 117838863 | 11783886 | Vomiting |
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 |
|---|---|---|---|---|---|---|
| 117838863 | 11783886 | 1 | 20151116 | 20151116 | 0 |