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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127538552 | 12753855 | 2 | F | 20160603 | 20160927 | 20160915 | 20160929 | EXP | US-ALLERGAN-1668570US | ALLERGAN | 71.00 | YR | M | Y | 84.35000 | KG | 20160929 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127538552 | 12753855 | 1 | PS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 40 UNITS, SINGLE | D | C4052 | 103000 | POWDER FOR INJECTION | QD | ||||||
| 127538552 | 12753855 | 2 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 20 UNITS, SINGLE | D | 103000 | POWDER FOR INJECTION | QD | |||||||
| 127538552 | 12753855 | 3 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 10 UNITS, SINGLE | D | 103000 | POWDER FOR INJECTION | QD | |||||||
| 127538552 | 12753855 | 4 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 25 UNITS, SINGLE | D | 103000 | POWDER FOR INJECTION | QD | |||||||
| 127538552 | 12753855 | 5 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 15 UNITS, SINGLE | D | 103000 | POWDER FOR INJECTION | QD | |||||||
| 127538552 | 12753855 | 6 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 10 UNITS, SINGLE | D | 103000 | POWDER FOR INJECTION | QD | |||||||
| 127538552 | 12753855 | 7 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 40 UNITS, SINGLE | D | 103000 | POWDER FOR INJECTION | QD | |||||||
| 127538552 | 12753855 | 8 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 40 UNITS, SINGLE | D | 103000 | POWDER FOR INJECTION | QD | |||||||
| 127538552 | 12753855 | 9 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 10 UNITS, SINGLE | D | 103000 | POWDER FOR INJECTION | QD | |||||||
| 127538552 | 12753855 | 10 | SS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | 30 UNITS, SINGLE | D | 103000 | POWDER FOR INJECTION | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127538552 | 12753855 | 1 | Torticollis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127538552 | 12753855 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127538552 | 12753855 | Dysphagia | |
| 127538552 | 12753855 | Muscle twitching | |
| 127538552 | 12753855 | Myoclonus | |
| 127538552 | 12753855 | Speech disorder |
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 |
|---|---|---|---|---|---|---|
| 127538552 | 12753855 | 1 | 20160531 | 20160531 | 0 | |
| 127538552 | 12753855 | 2 | 20160531 | 20160531 | 0 | |
| 127538552 | 12753855 | 3 | 20160531 | 20160531 | 0 | |
| 127538552 | 12753855 | 4 | 20160531 | 20160531 | 0 | |
| 127538552 | 12753855 | 5 | 20160531 | 20160531 | 0 | |
| 127538552 | 12753855 | 6 | 20160531 | 20160531 | 0 | |
| 127538552 | 12753855 | 7 | 20160531 | 20160531 | 0 | |
| 127538552 | 12753855 | 8 | 20160531 | 20160531 | 0 | |
| 127538552 | 12753855 | 9 | 20160531 | 20160531 | 0 | |
| 127538552 | 12753855 | 10 | 20160531 | 20160531 | 0 |