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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126104412 | 12610441 | 2 | F | 20150403 | 20160726 | 20160801 | 20160912 | EXP | FR-009507513-1501FRA007361 | MERCK | 59.66 | YR | F | Y | 59.00000 | KG | 20160912 | CN | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126104412 | 12610441 | 1 | PS | IMPLANON | ETONOGESTREL | 1 | Subdermal | UNK | 779308/859235 | 21529 | IMPLANT | ||||||||
| 126104412 | 12610441 | 2 | C | AOTAL | ACAMPROSATE CALCIUM | 1 | Oral | 333MG, 2 TABLETS BID | U | 0 | 333 | MG | TABLET | BID | |||||
| 126104412 | 12610441 | 3 | C | TIAPRIDAL | TIAPRIDE HYDROCHLORIDE | 1 | Oral | 100MG, 1/2 TABLET BID | U | 0 | TABLET | BID | |||||||
| 126104412 | 12610441 | 4 | C | ZOLOFT | SERTRALINE HYDROCHLORIDE | 1 | Oral | 50MG, 1/2 TABLET TID | U | 0 | TABLET | TID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126104412 | 12610441 | 1 | Contraception |
| 126104412 | 12610441 | 2 | Depression |
| 126104412 | 12610441 | 3 | Depression |
| 126104412 | 12610441 | 4 | Depression |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126104412 | 12610441 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126104412 | 12610441 | Cervix cautery | |
| 126104412 | 12610441 | Complication associated with device | |
| 126104412 | 12610441 | Depression | |
| 126104412 | 12610441 | Fatigue | |
| 126104412 | 12610441 | Incorrect drug administration duration | |
| 126104412 | 12610441 | Irritability | |
| 126104412 | 12610441 | Nausea | |
| 126104412 | 12610441 | Sensation of foreign body | |
| 126104412 | 12610441 | Skin infection | |
| 126104412 | 12610441 | Vaginal infection | |
| 126104412 | 12610441 | Vomiting |
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 |
|---|---|---|---|---|---|---|
| 126104412 | 12610441 | 1 | 20060404 | 0 |