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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119854742 | 11985474 | 2 | F | 20160121 | 20160823 | 20160201 | 20160826 | EXP | US-ALLERGAN-1602111US | ALLERGAN | 42.00 | YR | F | Y | 0.00000 | 20160826 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119854742 | 11985474 | 1 | PS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 150 UNITS, SINGLE | C3953 | 103000 | POWDER FOR INJECTION | QD | |||||||
| 119854742 | 11985474 | 2 | C | GAMMA GLOBULIN | IMMUNE GLOBULIN NOS | 1 | Intravenous (not otherwise specified) | UNK | U | 0 | |||||||||
| 119854742 | 11985474 | 3 | C | FEMRING | ESTRADIOL ACETATE | 1 | Vaginal | UNK | U | 0 | |||||||||
| 119854742 | 11985474 | 4 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | Oral | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 119854742 | 11985474 | 1 | Migraine |
| 119854742 | 11985474 | 2 | Neuromyopathy |
| 119854742 | 11985474 | 3 | Product used for unknown indication |
| 119854742 | 11985474 | 4 | Thyroid disorder |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 119854742 | 11985474 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 119854742 | 11985474 | Abnormal behaviour | |
| 119854742 | 11985474 | Depression | |
| 119854742 | 11985474 | Fatigue | |
| 119854742 | 11985474 | Feeling abnormal | |
| 119854742 | 11985474 | Memory impairment | |
| 119854742 | 11985474 | Respiratory failure | |
| 119854742 | 11985474 | Speech disorder |
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 |
|---|---|---|---|---|---|---|
| 119854742 | 11985474 | 1 | 20160121 | 20160121 | 0 | |
| 119854742 | 11985474 | 2 | 201511 | 0 |