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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124336183 | 12433618 | 3 | F | 20150511 | 20160711 | 20160603 | 20160714 | EXP | NL-009507513-1606NLD000522 | MERCK | 27.00 | YR | F | Y | 0.00000 | 20160714 | MD | NL | NL |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124336183 | 12433618 | 1 | PS | IMPLANON | ETONOGESTREL | 1 | Intramuscular | UNK | 696243/787986 | 21529 | IMPLANT |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124336183 | 12433618 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124336183 | 12433618 | Adverse event | |
| 124336183 | 12433618 | Complication associated with device | |
| 124336183 | 12433618 | Device deployment issue | |
| 124336183 | 12433618 | Incorrect route of drug administration | |
| 124336183 | 12433618 | Migration of implanted drug |
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 |
|---|---|---|---|---|---|---|
| 124336183 | 12433618 | 1 | 20150511 | 0 |