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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122235434 | 12223543 | 4 | F | 2008 | 20160916 | 20160330 | 20160923 | PER | US-BAYER-2016-061088 | BAYER | 30.00 | YR | A | F | Y | 83.90000 | KG | 20160923 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122235434 | 12223543 | 1 | PS | MIRENA | LEVONORGESTREL | 1 | Intra-uterine | 20 MCG/24HR, CONT | Y | 74544R | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM | |||||
| 122235434 | 12223543 | 2 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | UNK | 0 | |||||||||||
| 122235434 | 12223543 | 3 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | 0 | ||||||||||||
| 122235434 | 12223543 | 4 | C | BEYAZ | DROSPIRENONEETHINYL ESTRADIOLLEVOMEFOLATE CALCIUM | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 122235434 | 12223543 | 1 | Contraception |
| 122235434 | 12223543 | 2 | Goitre |
| 122235434 | 12223543 | 3 | Hypothyroidism |
| 122235434 | 12223543 | 4 | Menstruation irregular |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 122235434 | 12223543 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 122235434 | 12223543 | Anxiety | |
| 122235434 | 12223543 | Depression | |
| 122235434 | 12223543 | Loss of libido | |
| 122235434 | 12223543 | Menorrhagia | |
| 122235434 | 12223543 | Pain | |
| 122235434 | 12223543 | 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 |
|---|---|---|---|---|---|---|
| 122235434 | 12223543 | 1 | 20080415 | 20130422 | 0 | |
| 122235434 | 12223543 | 2 | 200803 | 0 |