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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127275061 | 12727506 | 1 | I | 2005 | 20160902 | 20160909 | 20160909 | EXP | BR-009507513-1609BRA002222 | MERCK | 27.00 | YR | F | Y | 73.00000 | KG | 20160909 | OT | BR | BR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127275061 | 12727506 | 1 | PS | IMPLANON | ETONOGESTREL | 1 | Subdermal | UNK, EVERY 3 YEARS | 21529 | IMPLANT | |||||||||
| 127275061 | 12727506 | 2 | SS | IMPLANON | ETONOGESTREL | 1 | Subdermal | UNK, EVERY 3 YEARS | 21529 | IMPLANT |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127275061 | 12727506 | 1 | Contraception |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127275061 | 12727506 | HO |
| 127275061 | 12727506 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127275061 | 12727506 | Adverse event | |
| 127275061 | 12727506 | Bipolar disorder | |
| 127275061 | 12727506 | Depression | |
| 127275061 | 12727506 | Dizziness | |
| 127275061 | 12727506 | Drug hypersensitivity | |
| 127275061 | 12727506 | Hallucination | |
| 127275061 | 12727506 | Headache | |
| 127275061 | 12727506 | Hepatic cyst | |
| 127275061 | 12727506 | Hypersensitivity | |
| 127275061 | 12727506 | Intentional self-injury | |
| 127275061 | 12727506 | Nausea | |
| 127275061 | 12727506 | Ovarian cyst | |
| 127275061 | 12727506 | Ovarian cyst ruptured | |
| 127275061 | 12727506 | Panic disorder | |
| 127275061 | 12727506 | Renal disorder | |
| 127275061 | 12727506 | Supraventricular tachycardia | |
| 127275061 | 12727506 | Syncope |
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 |
|---|---|---|---|---|---|---|
| 127275061 | 12727506 | 1 | 2004 | 0 | ||
| 127275061 | 12727506 | 2 | 20131023 | 0 |