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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8610963 | 8747143 | I | 8610963-6 | 20100801 | 20110907 | 20120420 | PER | WAES 1109USA00696 | MERCK + CO., INC. | 10 | YR | F | N | 20120419 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 8610963 | 1020622710 | PS | SINGULAIR | 1 | ORAL | 5 MG/DAILY/PO | Y | D | 20830 | ||
| 8610963 | 1020672670 | C | ALVESCO | 1 | |||||||
| 8610963 | 1020672671 | C | CROMOLYN SODIUM | 1 | |||||||
| 8610963 | 1020672672 | C | ALBUTEROL | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 8610963 | 1020622710 | ASTHMA |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 8610963 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 8610963 | ABDOMINAL DISCOMFORT |
| 8610963 | ANXIETY |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 8610963 | HP |
| 8610963 | CR |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 8610963 | 1020622710 | 20100101 | 20110801 |