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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4784076 | 5828608 | F | 4784076-8 | 20050525 | 20050930 | PER | US-GLAXOSMITHKLINE-A0560132A | GLAXOSMITHKLINE | 80 | YR | F | Y | 20050929 | CN | UNITED STATES |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4784076 | 1006469476 | PS | FLOVENT | 1 | RESPIRATORY (INHALATION) | 110MCG TWICE PER DAY | 0028 | 21433 | |||
| 4784076 | 1006469477 | C | INSULIN | 1 | |||||||
| 4784076 | 1006469478 | C | METHYLDOPA | 1 | |||||||
| 4784076 | 1006469479 | C | LOPRESSOR | 1 | |||||||
| 4784076 | 1006469480 | C | SUDAFED 12 HOUR | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4784076 | 1006469476 | ASTHMA |
Outcome of event
| no results found |
Reactions reported
| Event ID | PT |
|---|---|
| 4784076 | ALLERGIC SINUSITIS |
| 4784076 | DYSPNOEA |
| 4784076 | EAR DISORDER |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4784076 | 1006469476 | 20050515 | 10 | DAY |