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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126424823 | 12642482 | 3 | F | 20160804 | 20160920 | 20160810 | 20160920 | EXP | CN-ALLERGAN-1665130US | ALLERGAN | 31.00 | YR | F | Y | 0.00000 | 20160920 | CN | CN | CN |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126424823 | 12642482 | 1 | PS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 40 UNITS, SINGLE | D | 103000 | POWDER FOR INJECTION | QD | |||||||
| 126424823 | 12642482 | 2 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 40 UNITS, SINGLE | D | 103000 | POWDER FOR INJECTION | QD | |||||||
| 126424823 | 12642482 | 3 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 10 UNITS, SINGLE | D | 103000 | POWDER FOR INJECTION | QD | |||||||
| 126424823 | 12642482 | 4 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 10 UNITS, SINGLE | D | 103000 | POWDER FOR INJECTION | QD | |||||||
| 126424823 | 12642482 | 5 | C | RESTYLANE | HYALURONIC ACID | 1 | 1 UNK, UNK | U | 0 | 1 | ML | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126424823 | 12642482 | 1 | Face lift |
| 126424823 | 12642482 | 2 | Face lift |
| 126424823 | 12642482 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126424823 | 12642482 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126424823 | 12642482 | Anxiety | |
| 126424823 | 12642482 | Asthenia | |
| 126424823 | 12642482 | Botulism | |
| 126424823 | 12642482 | Dysuria | |
| 126424823 | 12642482 | 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 |
|---|---|---|---|---|---|---|
| 126424823 | 12642482 | 1 | 20160802 | 20160802 | 0 | |
| 126424823 | 12642482 | 2 | 20160802 | 20160802 | 0 | |
| 126424823 | 12642482 | 3 | 20160802 | 20160802 | 0 | |
| 126424823 | 12642482 | 4 | 20160802 | 20160802 | 0 | |
| 126424823 | 12642482 | 5 | 20160804 | 20160804 | 0 |