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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8610977 | 8747937 | I | 8610977-6 | 20100201 | 20110627 | 20120420 | PER | WAES 1106USA03784 | MERCK + CO., INC. | 11 | YR | M | N | 20120419 | MD | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
8610977 | 1020676672 | C | ALBUTEROL | 1 | |||||||
8610977 | 1020622747 | PS | SINGULAIR | 1 | ORAL | 5 MG/DAILY/PO | Y | D | 20830 |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
8610977 | 1020622747 | ASTHMA |
Outcome of event
Event ID | OUTC COD |
---|---|
8610977 | OT |
Reactions reported
Event ID | PT |
---|---|
8610977 | TERMINAL INSOMNIA |
8610977 | CONVULSION |
8610977 | DROOLING |
8610977 | TREMOR |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | RPSR COD |
---|---|
8610977 | HP |
8610977 | CR |
Therapies reported
Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|
8610977 | 1020622747 | 20100201 |