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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127087971 | 12708797 | 1 | I | 20160519 | 20160811 | 20160901 | 20160901 | EXP | US-ALLERGAN-1665680US | ALLERGAN | 69.00 | YR | F | Y | 0.00000 | 20160901 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127087971 | 12708797 | 1 | PS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | UNK, SINGLE | 103000 | POWDER FOR INJECTION | QD | ||||||||
127087971 | 12708797 | 2 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 25 UNITS, SINGLE | 103000 | POWDER FOR INJECTION | QD | ||||||||
127087971 | 12708797 | 3 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 25 UNITS, SINGLE | 103000 | POWDER FOR INJECTION | QD | ||||||||
127087971 | 12708797 | 4 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 25 UNITS, SINGLE | 103000 | POWDER FOR INJECTION | QD | ||||||||
127087971 | 12708797 | 5 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 25 UNITS, SINGLE | 103000 | POWDER FOR INJECTION | QD | ||||||||
127087971 | 12708797 | 6 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 50 UNITS, SINGLE | 103000 | POWDER FOR INJECTION | QD | ||||||||
127087971 | 12708797 | 7 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 50 UNITS, SINGLE | 103000 | POWDER FOR INJECTION | QD | ||||||||
127087971 | 12708797 | 8 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | UNK, SINGLE | 103000 | POWDER FOR INJECTION | QD |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
127087971 | 12708797 | 1 | Torticollis |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
127087971 | 12708797 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
127087971 | 12708797 | Dysphagia |
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 |
---|---|---|---|---|---|---|
127087971 | 12708797 | 1 | 20160427 | 20160427 | 0 | |
127087971 | 12708797 | 2 | 20160725 | 20160725 | 0 | |
127087971 | 12708797 | 3 | 20160725 | 20160725 | 0 | |
127087971 | 12708797 | 4 | 20160725 | 20160725 | 0 | |
127087971 | 12708797 | 5 | 20160725 | 20160725 | 0 | |
127087971 | 12708797 | 6 | 20160725 | 20160725 | 0 | |
127087971 | 12708797 | 7 | 20160725 | 20160725 | 0 | |
127087971 | 12708797 | 8 | 20160804 | 20160804 | 0 |