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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4959528 | 6016702 | I | 4959528-8 | 20041201 | 20060323 | 20060331 | EXP | US-GLAXOSMITHKLINE-A0599389A | GLAXOSMITHKLINE | 67 | YR | F | Y | 20060331 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4959528 | 1007116866 | PS | ADVAIR DISKUS 100/50 | 1 | ORAL | 21077 | |||||
| 4959528 | 1007116867 | SS | INFLUENZA VACCINE | 2 | UNKNOWN |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4959528 | 1007116866 | DRUG USE FOR UNKNOWN INDICATION |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4959528 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4959528 | ASTHMA |
| 4959528 | DRUG INTERACTION |
| 4959528 | MALAISE |
| 4959528 | MULTIPLE ALLERGIES |
| 4959528 | RESPIRATORY DISORDER |
| 4959528 | SINUSITIS |
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 |
|---|---|---|---|---|---|
| 4959528 | 1007116866 | 20040101 | |||
| 4959528 | 1007116867 | 20041210 | 20041210 | 1 | DAY |