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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
122723212 | 12272321 | 2 | F | 20120801 | 20160608 | 20160415 | 20160707 | PER | US-009507513-1604USA005738 | MERCK | 23.75 | YR | F | Y | 164.63000 | KG | 20160707 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
122723212 | 12272321 | 1 | PS | IMPLANON | ETONOGESTREL | 1 | Subdermal | 68 (UNSPECIFIED UNITS)1 ROD EVERY 3 YEARS | 905088001 | 21529 | 1 | DF | IMPLANT |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
122723212 | 12272321 | 1 | Contraception |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
122723212 | 12272321 | Device breakage | |
122723212 | 12272321 | Device deployment issue | |
122723212 | 12272321 | Difficulty removing drug implant | |
122723212 | 12272321 | Expired product administered | |
122723212 | 12272321 | Incorrect drug administration duration | |
122723212 | 12272321 | No adverse event |
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 |
---|---|---|---|---|---|---|
122723212 | 12272321 | 1 | 20120801 | 20160406 | 0 |