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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119846355 | 11984635 | 5 | F | 2009 | 20160726 | 20160201 | 20160728 | PER | US-BAYER-2016-017373 | BAYER | 30.00 | YR | A | F | Y | 0.00000 | 20160728 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119846355 | 11984635 | 1 | PS | MIRENA | LEVONORGESTREL | 1 | Intra-uterine | 20 MCG/24HR, CONT | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM | |||||||
| 119846355 | 11984635 | 2 | SS | MIRENA | LEVONORGESTREL | 1 | Intra-uterine | 20 MCG/24HR, CONT | TU00091 | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM | ||||||
| 119846355 | 11984635 | 3 | C | MOTRIN | IBUPROFEN | 1 | 0 | ||||||||||||
| 119846355 | 11984635 | 4 | C | WELLBUTRIN | BUPROPION HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 119846355 | 11984635 | 5 | C | ZOFRAN | ONDANSETRON HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 119846355 | 11984635 | 6 | C | DILAUDID | HYDROMORPHONE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 119846355 | 11984635 | 7 | C | NORCO | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | 0 | ||||||||||||
| 119846355 | 11984635 | 8 | C | COLACE | DOCUSATE SODIUM | 1 | 0 | ||||||||||||
| 119846355 | 11984635 | 9 | C | AMBIEN | ZOLPIDEM TARTRATE | 1 | 0 |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 119846355 | 11984635 | OT |
| 119846355 | 11984635 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 119846355 | 11984635 | Abortion spontaneous | |
| 119846355 | 11984635 | Depression | |
| 119846355 | 11984635 | Device difficult to use | |
| 119846355 | 11984635 | Device dislocation | |
| 119846355 | 11984635 | Device use issue | |
| 119846355 | 11984635 | Drug ineffective | |
| 119846355 | 11984635 | Medical device discomfort | |
| 119846355 | 11984635 | Medical device pain | |
| 119846355 | 11984635 | Pregnancy with contraceptive device | |
| 119846355 | 11984635 | 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 |
|---|---|---|---|---|---|---|
| 119846355 | 11984635 | 1 | 20130109 | 20150716 | 0 | |
| 119846355 | 11984635 | 2 | 20090630 | 201107 | 0 |