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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4784077 | 5828609 | F | 4784077-X | 20050101 | 20050526 | 20050930 | PER | US-GLAXOSMITHKLINE-A0560277A | GLAXOSMITHKLINE | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4784077 | 1006469481 | PS | FLOVENT | 1 | RESPIRATORY (INHALATION) | 2PUFF TWICE PER DAY | 0012,0014,0019 | 21433 | |||
| 4784077 | 1006469482 | C | ZYRTEC | 1 | |||||||
| 4784077 | 1006469483 | C | FLONASE | 1 | |||||||
| 4784077 | 1006469484 | C | ACIPHEX | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4784077 | 1006469481 | ASTHMA |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4784077 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4784077 | DRUG INEFFECTIVE |
| 4784077 | PHARMACEUTICAL PRODUCT COMPLAINT |
| 4784077 | PULMONARY CONGESTION |
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 |
|---|---|---|---|---|---|
| 4784077 | 1006469481 | 20041101 |