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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126148771 | 12614877 | 1 | I | 20160727 | 20160802 | 20160802 | EXP | FR-ALLERGAN-1664296US | ALLERGAN | 28.00 | YR | F | Y | 0.00000 | 20160802 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126148771 | 12614877 | 1 | PS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | UNK, SINGLE | 0 | POWDER FOR INJECTION | QD | ||||||||
| 126148771 | 12614877 | 2 | C | BACLOFENE | BACLOFEN | 1 | UNK | U | 0 | ||||||||||
| 126148771 | 12614877 | 3 | C | MONTELUKAST | MONTELUKAST SODIUM | 1 | UNK | U | 0 | ||||||||||
| 126148771 | 12614877 | 4 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | UNK | U | 0 | ||||||||||
| 126148771 | 12614877 | 5 | C | DAILY | ETHINYL ESTRADIOLLEVONORGESTREL | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126148771 | 12614877 | 1 | Muscle spasticity |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126148771 | 12614877 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126148771 | 12614877 | Abnormal behaviour | |
| 126148771 | 12614877 | Agitation | |
| 126148771 | 12614877 | Anger | |
| 126148771 | 12614877 | Depression | |
| 126148771 | 12614877 | Malaise |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |