The Safety Rates Drug Report

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Drug     Injury     Quarter    

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
126271011 12627101 1 I 20150630 20160803 20160805 20160805 EXP NO-NOMAADVRE-PASRAPP-2016-0002377 NO-ALLERGAN-1664769US ALLERGAN 29.00 YR M Y 80.00000 KG 20160805 CN NO NO

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
126271011 12627101 1 PS BOTOX ONABOTULINUMTOXINA 1 Intramuscular 25 UNITS, SINGLE 103000 POWDER FOR INJECTION QD
126271011 12627101 2 SS BOTOX ONABOTULINUMTOXINA 1 103000 POWDER FOR INJECTION

Indications of drugs used

Event ID CASEID INDI DRUG SEQ INDI PT
126271011 12627101 1 Drooling
126271011 12627101 2 Dysphagia

Outcome of event

Event ID CASEID OUTC COD
126271011 12627101 DE

Reactions reported

Event ID CASEID DRUG REC ACT PT
126271011 12627101 Death
126271011 12627101 Off label use

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
126271011 12627101 1 20150626 20150626 0