Person who experienced the adverse event (patient)
| Event ID | CASE | I F COD | FOLL SEQ | IMAGE | EVENT DT | MFR DT | FDA DT | REPT COD | MFR NUM | MFR SNDR | AGE | AGE COD | GNDR COD | E SUB | WT | WT COD | REPT DT | OCCP COD | DEATH DT | TO MFR | CONFID | REPORTER COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4390413 | 4157527 | F | 4390413-9 | 20040615 | 20040630 | EXP | 2004-BP-04064BR | BOEHRINGER DE ANGELI, SAO PAOLO/BRAZIL | 86 | YR | N | 20040625 |
Drug(s) used by person
| Event ID | DRUG SEQ | ROLE COD | DRUGNAME | VAL VBM | ROUTE | DOSE VBM | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4390413 | 1004989434 | PS | SPIRIVA | 1 | RESPIRATORY (INHALATION) | 18 MCG (18 MCG, 1 KAI OAD) | D | D | 21395 | ||
| 4390413 | 1005006812 | C | OXYGEN | 2 | |||||||
| 4390413 | 1005006813 | C | OMEPRAZOLE | 1 | |||||||
| 4390413 | 1005006814 | C | MONOCORDIL (ISOSORBIDE MONONITRATE) | 2 | |||||||
| 4390413 | 1005006821 | C | BAMIFIX (BAMIFYLLINE HYDROCHLORIDE) | 2 | |||||||
| 4390413 | 1005006822 | C | FORASEO (FORASEO) | 2 | |||||||
| 4390413 | 1005006823 | C | LASIX | 1 | |||||||
| 4390413 | 1005006824 | C | METICORTEN | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4390413 | 1004989434 | CHRONIC OBSTRUCTIVE AIRWAYS DISEASE |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4390413 | DE |
| 4390413 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4390413 | CHRONIC OBSTRUCTIVE AIRWAYS DISEASE EXACERBATED |
| 4390413 | CORONARY ARTERY DISEASE |
| 4390413 | PULMONARY FIBROSIS |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4390413 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4390413 | 1004989434 | 20030605 | 20030814 | 3 | MON |