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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126480181 | 12648018 | 1 | I | 201608 | 0 | 20160811 | 20160811 | DIR | 65.56 | YR | F | N | 0.00000 | 20160810 | N | PH | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126480181 | 12648018 | 1 | PS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 200 UNITS ONCE IM HEAD + NECK | D | D | C4095C3 | 20190228 | 0 | 200 | DF | 1X | |||
| 126480181 | 12648018 | 3 | C | MAXALT | RIZATRIPTAN BENZOATE | 1 | 0 |
Indications of drugs used
| no results found |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126480181 | 12648018 | Dyspnoea | |
| 126480181 | 12648018 | Fatigue | |
| 126480181 | 12648018 | Therapy non-responder |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 126480181 | 12648018 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 126480181 | 12648018 | 1 | 20160715 | 0 |