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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126535831 | 12653583 | 1 | I | 20160707 | 20160708 | 20160815 | 20160815 | EXP | US-ALLERGAN-1662639US | ALLERGAN | 35.00 | YR | F | Y | 53.52000 | KG | 20160815 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126535831 | 12653583 | 1 | PS | BOTOX COSMETIC | ONABOTULINUMTOXINA | 1 | Intramuscular | 13 UNITS, SINGLE | 1145103000 | POWDER FOR INJECTION | QD | ||||||||
| 126535831 | 12653583 | 2 | SS | BOTOX COSMETIC | ONABOTULINUMTOXINA | 1 | 1145103000 | POWDER FOR INJECTION | |||||||||||
| 126535831 | 12653583 | 3 | SS | BOTOX COSMETIC | ONABOTULINUMTOXINA | 1 | 1145103000 | POWDER FOR INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126535831 | 12653583 | 1 | Skin wrinkling |
| 126535831 | 12653583 | 2 | Skin wrinkling |
| 126535831 | 12653583 | 3 | Skin wrinkling |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126535831 | 12653583 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126535831 | 12653583 | Dizziness | |
| 126535831 | 12653583 | Dyspnoea | |
| 126535831 | 12653583 | Headache | |
| 126535831 | 12653583 | Joint dislocation | |
| 126535831 | 12653583 | Nervousness |
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 |
|---|---|---|---|---|---|---|
| 126535831 | 12653583 | 1 | 20160707 | 20160707 | 0 |