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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125559901 | 12555990 | 1 | I | 191602 | 0 | 20160713 | 20160713 | DIR | 60.00 | YR | F | N | 126.00000 | LBS | 20160614 | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125559901 | 12555990 | 1 | PS | BOTOX | ONABOTULINUMTOXINA | 1 | SHOTS?START DATE GIVEN 02-1916 | N | Y | 0 | |||||||||
| 125559901 | 12555990 | 3 | C | CLONIDINE. | CLONIDINE | 1 | 0 | ||||||||||||
| 125559901 | 12555990 | 5 | C | KLONOPIN | CLONAZEPAM | 1 | 0 | ||||||||||||
| 125559901 | 12555990 | 7 | C | ZOLOFT | SERTRALINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 125559901 | 12555990 | 11 | C | TYLENOL | ACETAMINOPHEN | 1 | 0 | ||||||||||||
| 125559901 | 12555990 | 13 | C | VITAMIN B COMPLEX | CYANOCOBALAMINDEXPANTHENOLNIACINAMIDEPYRIDOXINE HYDROCHLORIDERIBOFLAVIN 5'-PHOSPHATE SODIUMTHIAMINE HYDROCHLORIDEVITAMIN B COMPLEX | 1 | 0 | ||||||||||||
| 125559901 | 12555990 | 15 | C | VITAMIN D | CHOLECALCIFEROL | 1 | 0 | ||||||||||||
| 125559901 | 12555990 | 17 | C | VITAMIN C | ASCORBIC ACID | 1 | 0 | ||||||||||||
| 125559901 | 12555990 | 19 | C | MULTI 1 A DAY | 2 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125559901 | 12555990 | 1 | Neck pain |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125559901 | 12555990 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125559901 | 12555990 | Dizziness | |
| 125559901 | 12555990 | Dyskinesia | |
| 125559901 | 12555990 | Eye disorder | |
| 125559901 | 12555990 | Headache | |
| 125559901 | 12555990 | Musculoskeletal pain | |
| 125559901 | 12555990 | Neck pain | |
| 125559901 | 12555990 | Vision blurred |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |