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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127916051 | 12791605 | 1 | I | 20150731 | 0 | 20160929 | 20160929 | DIR | US-FDA-351795 | FDA-CTU | 65.00 | YR | F | N | 61.65000 | KG | 20160929 | Y | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127916051 | 12791605 | 1 | PS | BOTOX | ONABOTULINUMTOXINA | 1 | Intramuscular | ? OTHER FREQUENCY:EVERY 3 MONTHS;? | N | D | 0 | ||||||||
| 127916051 | 12791605 | 2 | C | SERTRALINE | SERTRALINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 127916051 | 12791605 | 3 | C | SIMVASTATIN. | SIMVASTATIN | 1 | 0 | ||||||||||||
| 127916051 | 12791605 | 4 | C | TENS MACHINE | 2 | 0 | |||||||||||||
| 127916051 | 12791605 | 5 | C | PRILOSEC | OMEPRAZOLE MAGNESIUM | 1 | 0 | ||||||||||||
| 127916051 | 12791605 | 6 | C | MVI | VITAMINS | 1 | 0 | ||||||||||||
| 127916051 | 12791605 | 7 | C | COENZYME Q10 | UBIDECARENONE | 1 | 0 | ||||||||||||
| 127916051 | 12791605 | 8 | C | VITAMIN D | CHOLECALCIFEROL | 1 | 0 | ||||||||||||
| 127916051 | 12791605 | 9 | C | CALCIUM | CALCIUM | 1 | 0 | ||||||||||||
| 127916051 | 12791605 | 10 | C | BABY ASA | ASPIRIN | 1 | 0 | ||||||||||||
| 127916051 | 12791605 | 11 | C | MAGNESIUM | MAGNESIUM | 1 | 0 | ||||||||||||
| 127916051 | 12791605 | 12 | C | FISH OIL | FISH OIL | 1 | 0 | ||||||||||||
| 127916051 | 12791605 | 13 | C | FLAXSEED | FLAX SEED | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127916051 | 12791605 | 1 | Torticollis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127916051 | 12791605 | OT |
| 127916051 | 12791605 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127916051 | 12791605 | Choking | |
| 127916051 | 12791605 | Cough | |
| 127916051 | 12791605 | Dysphagia | |
| 127916051 | 12791605 | Dysphonia | |
| 127916051 | 12791605 | Speech disorder | |
| 127916051 | 12791605 | Weight decreased |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |