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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126898672 | 12689867 | 2 | F | 20160523 | 20160915 | 20160826 | 20160920 | EXP | BE-IPSEN BIOPHARMACEUTICALS, INC.-2016-07072 | IPSEN | 62.00 | YR | F | Y | 0.00000 | 20160920 | MD | BE | BE |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126898672 | 12689867 | 1 | PS | AZZALURE | BOTULINUM TOXIN TYPE A | 1 | Unknown | NOT REPORTED | D | 125274 | POWDER FOR SOLUTION FOR INJECTION | /cycle | |||||||
| 126898672 | 12689867 | 2 | SS | MESOFILLER | HYALURONIC ACID | 1 | 0 | ||||||||||||
| 126898672 | 12689867 | 3 | SS | XYLOCAINE | LIDOCAINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126898672 | 12689867 | 4 | C | BISOPROLOL | BISOPROLOL | 1 | 0 | ||||||||||||
| 126898672 | 12689867 | 5 | C | LOGIMAT | 2 | 0 | |||||||||||||
| 126898672 | 12689867 | 6 | C | TOTALIP | ATORVASTATIN | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126898672 | 12689867 | 1 | Skin cosmetic procedure |
| 126898672 | 12689867 | 2 | Product used for unknown indication |
| 126898672 | 12689867 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126898672 | 12689867 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126898672 | 12689867 | Anaphylactic reaction |
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 |
|---|---|---|---|---|---|---|
| 126898672 | 12689867 | 1 | 20160523 | 20160523 | 0 | |
| 126898672 | 12689867 | 2 | 20160523 | 20160523 | 0 | |
| 126898672 | 12689867 | 3 | 20160523 | 20160523 | 0 |