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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126015091 | 12601509 | 1 | I | 20160719 | 0 | 20160727 | 20160727 | DIR | 47.00 | YR | F | N | 103.00000 | LBS | 20160726 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126015091 | 12601509 | 1 | PS | BOTOX COSMETIC | ONABOTULINUMTOXINA | 1 | Intramuscular | N | D | 0 | SUSPENSION FOR INJECTION | 1X | |||||||
| 126015091 | 12601509 | 3 | C | ADVIL | IBUPROFEN | 1 | 0 | ||||||||||||
| 126015091 | 12601509 | 5 | C | TYLENOL | ACETAMINOPHEN | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126015091 | 12601509 | 1 | Skin wrinkling |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126015091 | 12601509 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126015091 | 12601509 | Back pain | |
| 126015091 | 12601509 | Chest pain | |
| 126015091 | 12601509 | Diarrhoea | |
| 126015091 | 12601509 | Dry mouth | |
| 126015091 | 12601509 | Headache | |
| 126015091 | 12601509 | Influenza like illness | |
| 126015091 | 12601509 | Musculoskeletal stiffness | |
| 126015091 | 12601509 | Myalgia | |
| 126015091 | 12601509 | Nausea | |
| 126015091 | 12601509 | Neck pain | |
| 126015091 | 12601509 | Palpitations |
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 |
|---|---|---|---|---|---|---|
| 126015091 | 12601509 | 1 | 20160719 | 20160719 | 0 |