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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125730421 | 12573042 | 1 | I | 20160602 | 0 | 20160719 | 20160719 | DIR | 43.00 | YR | F | N | 143.00000 | LBS | 20160718 | N | PH | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125730421 | 12573042 | 1 | PS | BOTOX | ONABOTULINUMTOXINA | 1 | D | D | 0 | ||||||||||
125730421 | 12573042 | 3 | C | SALINE | SODIUM CHLORIDE | 1 | 0 | ||||||||||||
125730421 | 12573042 | 7 | C | PROCERUS | 2 | 0 | |||||||||||||
125730421 | 12573042 | 9 | C | CORRUGATOR | 2 | 0 | |||||||||||||
125730421 | 12573042 | 11 | C | TRAPEZIUS | 2 | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125730421 | 12573042 | 1 | Migraine |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
125730421 | 12573042 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125730421 | 12573042 | Diplopia | |
125730421 | 12573042 | Drug ineffective | |
125730421 | 12573042 | Eyelid ptosis | |
125730421 | 12573042 | Neck pain | |
125730421 | 12573042 | Photosensitivity reaction | |
125730421 | 12573042 | Visual acuity reduced |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | CASEID | RPSR COD |
---|---|---|
125730421 | 12573042 | HP |
Therapies reported
Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|---|
125730421 | 12573042 | 1 | 20160601 | 20160601 | 0 |