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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125506201 | 12550620 | 1 | I | 20151002 | 20160707 | 20160712 | 20160712 | EXP | CH-ALLERGAN-1662543US | ALLERGAN | 37.00 | YR | F | Y | 0.00000 | 20160712 | CN | CH | CH |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125506201 | 12550620 | 1 | PS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 0.1 ML, SINGLE | U | 103000 | .1 | ML | POWDER FOR INJECTION | QD | |||||
125506201 | 12550620 | 2 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 0.1 ML, SINGLE | U | 103000 | .1 | ML | POWDER FOR INJECTION | QD | |||||
125506201 | 12550620 | 3 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 0.1 ML, SINGLE | U | 103000 | .1 | ML | POWDER FOR INJECTION | QD | |||||
125506201 | 12550620 | 4 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 0.2 ML, SINGLE | U | 103000 | .2 | ML | POWDER FOR INJECTION | QD | |||||
125506201 | 12550620 | 5 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 0.2 ML, SINGLE | U | 103000 | .2 | ML | POWDER FOR INJECTION | QD | |||||
125506201 | 12550620 | 6 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 0.2 ML, SINGLE | U | 103000 | .2 | ML | POWDER FOR INJECTION | QD | |||||
125506201 | 12550620 | 7 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 0.2 ML, SINGLE | U | 103000 | .2 | ML | POWDER FOR INJECTION | QD | |||||
125506201 | 12550620 | 8 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 0.1 ML, SINGLE | U | 103000 | .1 | ML | POWDER FOR INJECTION | QD | |||||
125506201 | 12550620 | 9 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 0.1 ML, SINGLE | U | 103000 | .1 | ML | POWDER FOR INJECTION | QD | |||||
125506201 | 12550620 | 10 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 0.1 ML, SINGLE | U | 103000 | .1 | ML | POWDER FOR INJECTION | QD | |||||
125506201 | 12550620 | 11 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 0.1 ML, SINGLE | U | 103000 | .1 | ML | POWDER FOR INJECTION | QD | |||||
125506201 | 12550620 | 12 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 0.5 ML, SINGLE | U | 103000 | .5 | ML | POWDER FOR INJECTION | QD | |||||
125506201 | 12550620 | 13 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 0.5 ML, SINGLE | U | 103000 | .5 | ML | POWDER FOR INJECTION | QD |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125506201 | 12550620 | 1 | Cervicogenic headache |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
125506201 | 12550620 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125506201 | 12550620 | Dysphagia | |
125506201 | 12550620 | Muscular weakness | |
125506201 | 12550620 | Myalgia | |
125506201 | 12550620 | Off label use | |
125506201 | 12550620 | Pain of skin | |
125506201 | 12550620 | Sleep disorder |
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 |
---|---|---|---|---|---|---|
125506201 | 12550620 | 1 | 20150929 | 20150929 | 0 | |
125506201 | 12550620 | 2 | 20150929 | 20150929 | 0 | |
125506201 | 12550620 | 3 | 20150929 | 20150929 | 0 | |
125506201 | 12550620 | 4 | 20150929 | 20150929 | 0 | |
125506201 | 12550620 | 5 | 20150929 | 20150929 | 0 | |
125506201 | 12550620 | 6 | 20150929 | 20150929 | 0 | |
125506201 | 12550620 | 7 | 20150929 | 20150929 | 0 | |
125506201 | 12550620 | 8 | 20150929 | 20150929 | 0 | |
125506201 | 12550620 | 9 | 20150929 | 20150929 | 0 | |
125506201 | 12550620 | 10 | 20150929 | 20150929 | 0 | |
125506201 | 12550620 | 11 | 20150929 | 20150929 | 0 | |
125506201 | 12550620 | 12 | 20150929 | 20150929 | 0 | |
125506201 | 12550620 | 13 | 20150929 | 20150929 | 0 |