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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4466780 | 5665029 | F | 1 | 4466780-4 | 19970701 | 19970825 | 20040930 | EXP | 97-07-0450 | SCHERING-PLOUGH CORPORATION | 56 | YR | F | N | 195 | LBS | 19970825 | PH |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|
4466780 | 1005268306 | PS | PROVENTIL-HFA | 1 | OROPHARINGEAL | 3 PUFFS QID ORAL AER INH | D | D | 20503 |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
4466780 | 1005268306 | ASTHMA |
Outcome of event
Event ID | OUTC COD |
---|---|
4466780 | HO |
Reactions reported
Event ID | PT |
---|---|
4466780 | CARDIAC DISORDER |
4466780 | CONVULSION |
4466780 | DISORIENTATION |
4466780 | DIZZINESS |
4466780 | SYNCOPE |
4466780 | TREMOR |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | RPSR COD |
---|---|
4466780 | HP |
Therapies reported
Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|
4466780 | 1005268306 | 19970520 |