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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125985162 | 12598516 | 2 | F | 201607 | 20160916 | 20160726 | 20160919 | EXP | US-ALLERGAN-1663793US | ALLERGAN | 57.00 | YR | F | Y | 40.82000 | KG | 20160919 | CN | US | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125985162 | 12598516 | 1 | PS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 185 UNITS, SINGLE | D | 103000 | POWDER FOR INJECTION | QD | |||||||
| 125985162 | 12598516 | 2 | C | GABAPENTIN. | GABAPENTIN | 1 | UNK | U | 0 | ||||||||||
| 125985162 | 12598516 | 3 | C | GABAPENTIN. | GABAPENTIN | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125985162 | 12598516 | 1 | Torticollis |
| 125985162 | 12598516 | 2 | Fibromyalgia |
| 125985162 | 12598516 | 3 | Neuropathy peripheral |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125985162 | 12598516 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125985162 | 12598516 | Chronic obstructive pulmonary disease | |
| 125985162 | 12598516 | Confusional state | |
| 125985162 | 12598516 | Dysphagia | |
| 125985162 | 12598516 | Fatigue | |
| 125985162 | 12598516 | Feeding disorder | |
| 125985162 | 12598516 | Feeling abnormal | |
| 125985162 | 12598516 | Flushing | |
| 125985162 | 12598516 | Hypersensitivity | |
| 125985162 | 12598516 | Hypertension | |
| 125985162 | 12598516 | Influenza like illness | |
| 125985162 | 12598516 | Malaise | |
| 125985162 | 12598516 | Palpitations | |
| 125985162 | 12598516 | Paralysis | |
| 125985162 | 12598516 | Presyncope | |
| 125985162 | 12598516 | Skin burning sensation | |
| 125985162 | 12598516 | Tremor | |
| 125985162 | 12598516 | Vision blurred | |
| 125985162 | 12598516 | Weight decreased |
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 |
|---|---|---|---|---|---|---|
| 125985162 | 12598516 | 1 | 20160705 | 20160705 | 0 |