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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122799174 | 12279917 | 4 | F | 20151008 | 20160809 | 20160418 | 20160815 | EXP | US-ALLERGAN-1654015US | ALLERGAN | 62.00 | YR | F | Y | 0.00000 | 20160815 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122799174 | 12279917 | 1 | PS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | UNK, SINGLE | 103000 | POWDER FOR INJECTION | QD | ||||||||
| 122799174 | 12279917 | 2 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | UNK | 103000 | POWDER FOR INJECTION | QD | ||||||||
| 122799174 | 12279917 | 3 | C | ADVIL | IBUPROFEN | 1 | Oral | UNK | U | 0 | |||||||||
| 122799174 | 12279917 | 4 | C | TYLENOL | ACETAMINOPHEN | 1 | Oral | UNK | U | 0 | |||||||||
| 122799174 | 12279917 | 5 | C | PHENERGAN | PROMETHAZINE HYDROCHLORIDE | 1 | Oral | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 122799174 | 12279917 | 1 | Migraine |
| 122799174 | 12279917 | 3 | Pain |
| 122799174 | 12279917 | 4 | Pain |
| 122799174 | 12279917 | 5 | Pain |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 122799174 | 12279917 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 122799174 | 12279917 | Anxiety | |
| 122799174 | 12279917 | Chest discomfort | |
| 122799174 | 12279917 | Dysphonia |
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 |
|---|---|---|---|---|---|---|
| 122799174 | 12279917 | 1 | 20160114 | 20160114 | 0 | |
| 122799174 | 12279917 | 2 | 20151008 | 20151008 | 0 |