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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126751553 | 12675155 | 3 | F | 201606 | 20160927 | 20160822 | 20160930 | EXP | US-ALLERGAN-1666384US | ALLERGAN | 57.00 | YR | F | Y | 56.24000 | KG | 20160930 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126751553 | 12675155 | 1 | PS | BOTOX COSMETIC | ONABOTULINUMTOXINA | 1 | Intramuscular | 33 UNITS, SINGLE | D | 321242 | 1145103000 | POWDER FOR INJECTION | QD | ||||||
| 126751553 | 12675155 | 2 | SS | BOTOX COSMETIC | ONABOTULINUMTOXINA | 1 | Intramuscular | 27 UNITS, SINGLE | D | 1145103000 | POWDER FOR INJECTION | QD | |||||||
| 126751553 | 12675155 | 3 | SS | BOTOX COSMETIC | ONABOTULINUMTOXINA | 1 | Intramuscular | 27 UNITS, SINGLE | D | 1145103000 | POWDER FOR INJECTION | QD | |||||||
| 126751553 | 12675155 | 4 | SS | BOTOX COSMETIC | ONABOTULINUMTOXINA | 1 | Intramuscular | 27 UNITS, SINGLE | D | 1145103000 | POWDER FOR INJECTION | QD | |||||||
| 126751553 | 12675155 | 5 | SS | BOTOX COSMETIC | ONABOTULINUMTOXINA | 1 | D | 1145103000 | POWDER FOR INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126751553 | 12675155 | 1 | Skin wrinkling |
| 126751553 | 12675155 | 2 | Skin wrinkling |
| 126751553 | 12675155 | 3 | Skin wrinkling |
| 126751553 | 12675155 | 4 | Skin wrinkling |
| 126751553 | 12675155 | 5 | Skin wrinkling |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126751553 | 12675155 | OT |
| 126751553 | 12675155 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126751553 | 12675155 | Administration site streaking | |
| 126751553 | 12675155 | Arthralgia | |
| 126751553 | 12675155 | Arthritis bacterial | |
| 126751553 | 12675155 | Off label use | |
| 126751553 | 12675155 | Product preparation error | |
| 126751553 | 12675155 | Pruritus | |
| 126751553 | 12675155 | Pyrexia | |
| 126751553 | 12675155 | Swelling |
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 |
|---|---|---|---|---|---|---|
| 126751553 | 12675155 | 1 | 20160616 | 20160616 | 0 | |
| 126751553 | 12675155 | 2 | 20160216 | 20160216 | 0 | |
| 126751553 | 12675155 | 3 | 20151022 | 20151022 | 0 | |
| 126751553 | 12675155 | 4 | 20150327 | 20150327 | 0 |