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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 118014642 | 11801464 | 2 | F | 201311 | 20160701 | 20151204 | 20160713 | EXP | US-BAYER-2015-478520 | BAYER | 29.00 | YR | A | F | Y | 0.00000 | 20160713 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 118014642 | 11801464 | 1 | PS | MIRENA | LEVONORGESTREL | 1 | Intra-uterine | 20 MCG/24HR, CONT | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM | |||||||
| 118014642 | 11801464 | 2 | C | NEURONTIN | GABAPENTIN | 1 | 0 | ||||||||||||
| 118014642 | 11801464 | 3 | C | GABAPENTIN. | GABAPENTIN | 1 | 0 | ||||||||||||
| 118014642 | 11801464 | 4 | C | EFFEXOR | VENLAFAXINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 118014642 | 11801464 | 5 | C | DILAUDID | HYDROMORPHONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 118014642 | 11801464 | 6 | C | PROTONIX | PANTOPRAZOLE SODIUM | 1 | 0 | ||||||||||||
| 118014642 | 11801464 | 7 | C | COLACE | DOCUSATE SODIUM | 1 | 0 | ||||||||||||
| 118014642 | 11801464 | 8 | C | CARVEDILOL. | CARVEDILOL | 1 | 0 | ||||||||||||
| 118014642 | 11801464 | 9 | C | MONTELUKAST | MONTELUKAST SODIUM | 1 | 0 | ||||||||||||
| 118014642 | 11801464 | 10 | C | XYREM | SODIUM OXYBATE | 1 | 0 | ||||||||||||
| 118014642 | 11801464 | 11 | C | ZOFRAN | ONDANSETRON HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 118014642 | 11801464 | 12 | C | IMITREX | SUMATRIPTAN SUCCINATE | 1 | 0 | ||||||||||||
| 118014642 | 11801464 | 13 | SS | MECLIZINE | MECLIZINE HYDROCHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 118014642 | 11801464 | 2 | Pain |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 118014642 | 11801464 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 118014642 | 11801464 | Benign intracranial hypertension | |
| 118014642 | 11801464 | Dizziness | |
| 118014642 | 11801464 | Ear pain | |
| 118014642 | 11801464 | Migraine | |
| 118014642 | 11801464 | Neck pain | |
| 118014642 | 11801464 | Papilloedema | |
| 118014642 | 11801464 | Visual impairment |
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 |
|---|---|---|---|---|---|---|
| 118014642 | 11801464 | 1 | 20130523 | 20131119 | 0 |