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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119845055 | 11984505 | 5 | F | 20130526 | 20160815 | 20160201 | 20160818 | EXP | US-BAYER-2016-017200 | BAYER | 31.00 | YR | A | F | Y | 102.95000 | KG | 20160818 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119845055 | 11984505 | 1 | PS | MIRENA | LEVONORGESTREL | 1 | Intra-uterine | 20 MCG/24HR, CONT | N | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM | ||||||
| 119845055 | 11984505 | 2 | C | PROZAC | FLUOXETINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 119845055 | 11984505 | 3 | C | VISTARIL | HYDROXYZINE PAMOATE | 1 | 0 | ||||||||||||
| 119845055 | 11984505 | 4 | C | CEPHALEXIN. | CEPHALEXIN | 1 | 0 | ||||||||||||
| 119845055 | 11984505 | 5 | C | FLOMAX (TAMSULOSIN) | 2 | 0 | |||||||||||||
| 119845055 | 11984505 | 6 | C | PHENERGAN | PROMETHAZINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 119845055 | 11984505 | 7 | C | PERCOCET | ACETAMINOPHENOXYCODONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 119845055 | 11984505 | 8 | C | NAPROXEN. | NAPROXEN | 1 | 0 | ||||||||||||
| 119845055 | 11984505 | 9 | C | FLEXERIL | CYCLOBENZAPRINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 119845055 | 11984505 | 10 | C | ZOFRAN | ONDANSETRON HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 119845055 | 11984505 | 11 | C | OXYCODONE | OXYCODONE | 1 | 0 | ||||||||||||
| 119845055 | 11984505 | 12 | C | BACTRIM | SULFAMETHOXAZOLETRIMETHOPRIM | 1 | 0 | ||||||||||||
| 119845055 | 11984505 | 13 | C | PHENAZOPYRIDINE HYDROCHLORIDE. | PHENAZOPYRIDINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 119845055 | 11984505 | 14 | C | CELEXA | CITALOPRAM HYDROBROMIDE | 1 | 0 | ||||||||||||
| 119845055 | 11984505 | 15 | C | LEXAPRO | ESCITALOPRAM OXALATE | 1 | 0 | ||||||||||||
| 119845055 | 11984505 | 16 | C | WELLBUTRIN | BUPROPION HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 119845055 | 11984505 | 17 | C | PAXIL | PAROXETINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 119845055 | 11984505 | 18 | C | DEPAKOTE | DIVALPROEX SODIUM | 1 | 0 | ||||||||||||
| 119845055 | 11984505 | 19 | C | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 119845055 | 11984505 | 1 | Contraception |
| 119845055 | 11984505 | 10 | Nausea |
| 119845055 | 11984505 | 11 | Abdominal pain |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 119845055 | 11984505 | OT |
| 119845055 | 11984505 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 119845055 | 11984505 | Abdominal pain lower | |
| 119845055 | 11984505 | Nephrolithiasis | |
| 119845055 | 11984505 | Pain | |
| 119845055 | 11984505 | Peritoneal adhesions | |
| 119845055 | 11984505 | Procedural pain | |
| 119845055 | 11984505 | Scar | |
| 119845055 | 11984505 | Suicide attempt | |
| 119845055 | 11984505 | Uterine perforation |
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 |
|---|---|---|---|---|---|---|
| 119845055 | 11984505 | 1 | 20120412 | 20140308 | 0 |