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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127289361 | 12728936 | 1 | I | 20160303 | 0 | 20160908 | 20160908 | DIR | US-FDA-350047 | FDA-CTU | 45.00 | YR | F | N | 87.75000 | KG | 20160908 | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127289361 | 12728936 | 1 | PS | BOTOX | ONABOTULINUMTOXINA | 1 | OTHER STRENGTH:;OTHER DOSE:24 UNITS;OTHER FREQUENCY:EVERY 2 MONTHS;OTHER ROUTE:INJECTED INTO MY FOREHEAD FOR WRINKLES | N | D | C3974C3 | 0 | 24 | DF |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127289361 | 12728936 | 1 | Skin cosmetic procedure |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127289361 | 12728936 | DS |
| 127289361 | 12728936 | LT |
| 127289361 | 12728936 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127289361 | 12728936 | Dyspnoea | |
| 127289361 | 12728936 | Pain in extremity | |
| 127289361 | 12728936 | Paraesthesia |
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 |
|---|---|---|---|---|---|---|
| 127289361 | 12728936 | 1 | 20130502 | 20160224 | 0 |