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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123313626 | 12331362 | 6 | F | 20160426 | 20160713 | 20160504 | 20160722 | EXP | JP-ALLERGAN-1655583US | ALLERGAN | 54.00 | YR | M | Y | 0.00000 | 20160722 | CN | JP | JP |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123313626 | 12331362 | 1 | PS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 240 UNITS, SINGLE | 103000 | POWDER FOR INJECTION | QD | ||||||||
| 123313626 | 12331362 | 2 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 240 UNITS, SINGLE | 103000 | POWDER FOR INJECTION | QD | ||||||||
| 123313626 | 12331362 | 3 | C | OLMETEC | OLMESARTAN MEDOXOMIL | 1 | 10 MG, QD | U | 0 | 10 | MG | QD | |||||||
| 123313626 | 12331362 | 4 | C | CILOSTAZOL OD | CILOSTAZOL | 1 | 50 MG, BID | U | 0 | 50 | MG | BID | |||||||
| 123313626 | 12331362 | 5 | C | DEPAKENE | VALPROIC ACID | 1 | 200 MG, BID | U | 0 | 200 | MG | TABLET | BID | ||||||
| 123313626 | 12331362 | 6 | C | BAYASPIRIN | ASPIRIN | 1 | U | 0 | |||||||||||
| 123313626 | 12331362 | 7 | C | ISOPROPANOL | ISOPROPANOLAMINE | 1 | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 123313626 | 12331362 | 1 | Muscle spasms |
| 123313626 | 12331362 | 3 | Hypertension |
| 123313626 | 12331362 | 7 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 123313626 | 12331362 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 123313626 | 12331362 | Anaphylactic shock | |
| 123313626 | 12331362 | Blood pressure decreased | |
| 123313626 | 12331362 | Circulatory collapse | |
| 123313626 | 12331362 | Dizziness | |
| 123313626 | 12331362 | Yawning |
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 |
|---|---|---|---|---|---|---|
| 123313626 | 12331362 | 1 | 20160426 | 20160426 | 0 | |
| 123313626 | 12331362 | 2 | 20121030 | 20121030 | 0 | |
| 123313626 | 12331362 | 3 | 20160426 | 0 | ||
| 123313626 | 12331362 | 7 | 20160426 | 20160426 | 0 |