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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126093353 | 12609335 | 3 | F | 201508 | 20160804 | 20160801 | 20160812 | EXP | US-009507513-1607USA012329 | MERCK | 47.25 | YR | F | Y | 58.96000 | KG | 20160812 | MD | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126093353 | 12609335 | 1 | PS | IMPLANON | ETONOGESTREL | 1 | Subdermal | UNK, UPPER RIGHT EXTREMITY | 21529 | IMPLANT | |||||||||
126093353 | 12609335 | 2 | SS | IMPLANON | ETONOGESTREL | 1 | Subdermal | UNK | 21529 | IMPLANT |
Indications of drugs used
no results found |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126093353 | 12609335 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126093353 | 12609335 | Complication associated with device | |
126093353 | 12609335 | Complication of device removal | |
126093353 | 12609335 | Incorrect drug administration duration | |
126093353 | 12609335 | Migration of implanted drug | |
126093353 | 12609335 | Plastic surgery |
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 |
---|---|---|---|---|---|---|
126093353 | 12609335 | 1 | 201208 | 0 | ||
126093353 | 12609335 | 2 | 201208 | 0 |