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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125470854 | 12547085 | 4 | F | 2016 | 20160823 | 20160711 | 20160826 | EXP | US-ALLERGAN-1660805US | ALLERGAN | 54.00 | YR | F | Y | 48.98000 | KG | 20160826 | MD | COUNTRY NOT SPECIFIED | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125470854 | 12547085 | 1 | PS | BOTOX COSMETIC | ONABOTULINUMTOXINA | 1 | Intramuscular | 50 UNITS, SINGLE | C3988 | 1145103000 | POWDER FOR INJECTION | QD | |||||||
| 125470854 | 12547085 | 2 | SS | BOTOX COSMETIC | ONABOTULINUMTOXINA | 1 | Intramuscular | 15 UNITS, SINGLE | 1145103000 | POWDER FOR INJECTION | QD | ||||||||
| 125470854 | 12547085 | 3 | SS | BOTOX COSMETIC | ONABOTULINUMTOXINA | 1 | Intramuscular | UNK | 1145103000 | POWDER FOR INJECTION | QD | ||||||||
| 125470854 | 12547085 | 4 | SS | BOTOX COSMETIC | ONABOTULINUMTOXINA | 1 | Intramuscular | UNK | 1145103000 | POWDER FOR INJECTION | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125470854 | 12547085 | 1 | Skin wrinkling |
| 125470854 | 12547085 | 2 | Skin wrinkling |
| 125470854 | 12547085 | 3 | Skin wrinkling |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125470854 | 12547085 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125470854 | 12547085 | Anxiety | |
| 125470854 | 12547085 | Back pain | |
| 125470854 | 12547085 | Depression | |
| 125470854 | 12547085 | Herpes simplex | |
| 125470854 | 12547085 | Impaired gastric emptying | |
| 125470854 | 12547085 | Influenza like illness | |
| 125470854 | 12547085 | Neuralgia | |
| 125470854 | 12547085 | 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 |
|---|---|---|---|---|---|---|
| 125470854 | 12547085 | 1 | 20160315 | 20160315 | 0 | |
| 125470854 | 12547085 | 2 | 20160329 | 20160329 | 0 | |
| 125470854 | 12547085 | 3 | 20120126 | 20120126 | 0 | |
| 125470854 | 12547085 | 4 | 20120209 | 20120209 | 0 |