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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126391751 | 12639175 | 1 | I | 20130307 | 20131023 | 20160810 | 20160810 | PER | US-009507513-1310USA010881 | MERCK | 23.92 | YR | F | Y | 0.00000 | 20160810 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126391751 | 12639175 | 1 | PS | IMPLANON | ETONOGESTREL | 1 | Subdermal | 68 MG, UNK | 21529 | 68 | MG | IMPLANT | |||||||
126391751 | 12639175 | 2 | SS | IMPLANON | ETONOGESTREL | 1 | Subdermal | 1 IMPLANT, UNK | 21529 | 1 | DF | IMPLANT |
Indications of drugs used
no results found |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126391751 | 12639175 | Incorrect drug administration duration | |
126391751 | 12639175 | Medical device removal |
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 |
---|---|---|---|---|---|---|
126391751 | 12639175 | 1 | 20100306 | 20131023 | 0 | |
126391751 | 12639175 | 2 | 20131023 | 20160805 | 0 |