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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123698873 | 12369887 | 3 | F | 20160228 | 20160627 | 20160516 | 20160701 | EXP | NZ-ALLERGAN-1656588US | ALLERGAN | 46.00 | YR | F | Y | 0.00000 | 20160630 | OT | COUNTRY NOT SPECIFIED | NZ |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123698873 | 12369887 | 1 | PS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 16 UNITS, SINGLE | C3941 | 103000 | POWDER FOR INJECTION | QD | |||||||
| 123698873 | 12369887 | 2 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 6 UNITS, SINGLE | 103000 | POWDER FOR INJECTION | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 123698873 | 12369887 | 1 | Skin wrinkling |
| 123698873 | 12369887 | 2 | Skin wrinkling |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 123698873 | 12369887 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 123698873 | 12369887 | Anxiety | |
| 123698873 | 12369887 | Cardiac disorder | |
| 123698873 | 12369887 | Chest discomfort | |
| 123698873 | 12369887 | Dyspnoea | |
| 123698873 | 12369887 | Fatigue | |
| 123698873 | 12369887 | Headache | |
| 123698873 | 12369887 | Inflammation | |
| 123698873 | 12369887 | Influenza like illness | |
| 123698873 | 12369887 | Insomnia | |
| 123698873 | 12369887 | Palpitations | |
| 123698873 | 12369887 | Panic attack | |
| 123698873 | 12369887 | Paraesthesia | |
| 123698873 | 12369887 | Product preparation error |
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 |
|---|---|---|---|---|---|---|
| 123698873 | 12369887 | 1 | 20160225 | 20160225 | 0 | |
| 123698873 | 12369887 | 2 | 20160225 | 20160225 | 0 |