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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 91171034 | 9117103 | 4 | F | 201212 | 20160713 | 20130225 | 20160722 | PER | US-BAYER-2013-021007 | BAYER | 22.00 | YR | A | F | Y | 94.79000 | KG | 20160722 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 91171034 | 9117103 | 1 | PS | MIRENA | LEVONORGESTREL | 1 | Intra-uterine | 20 MCG/24HR, CONT | N | TU00BUG | 21225 | 20 | UG | INTRAUTERINE DELIVERY SYSTEM | |||||
| 91171034 | 9117103 | 2 | C | HYDROCODONE | HYDROCODONE | 1 | UNK | 0 | |||||||||||
| 91171034 | 9117103 | 3 | C | VICODIN | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 91171034 | 9117103 | 1 | Contraception |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 91171034 | 9117103 | OT |
| 91171034 | 9117103 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 91171034 | 9117103 | Abdominal pain lower | |
| 91171034 | 9117103 | Anxiety | |
| 91171034 | 9117103 | Back pain | |
| 91171034 | 9117103 | Chest pain | |
| 91171034 | 9117103 | Crying | |
| 91171034 | 9117103 | Depressed mood | |
| 91171034 | 9117103 | Depression | |
| 91171034 | 9117103 | Device dislocation | |
| 91171034 | 9117103 | Device issue | |
| 91171034 | 9117103 | Disturbance in attention | |
| 91171034 | 9117103 | Dizziness | |
| 91171034 | 9117103 | Fatigue | |
| 91171034 | 9117103 | Genital haemorrhage | |
| 91171034 | 9117103 | Headache | |
| 91171034 | 9117103 | Hunger | |
| 91171034 | 9117103 | Medical device pain | |
| 91171034 | 9117103 | Memory impairment | |
| 91171034 | 9117103 | Musculoskeletal chest pain | |
| 91171034 | 9117103 | Uterine perforation | |
| 91171034 | 9117103 | Vaginal infection | |
| 91171034 | 9117103 | Visual acuity reduced |
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 |
|---|---|---|---|---|---|---|
| 91171034 | 9117103 | 1 | 20120309 | 20130418 | 0 | |
| 91171034 | 9117103 | 2 | 2011 | 2014 | 0 | |
| 91171034 | 9117103 | 3 | 2011 | 2014 | 0 |