Person who experienced the adverse event (patient)
| Event ID | CASEID | CASEVERSION | I F COD | EVENT DT | MFR DT | INIT FDA DT | FDA DT | REPT COD | AUTH NUM | MFR NUM | MFR SNDR | LIT REF | AGE | AGE COD | AGE GRP | GNDR COD | E SUB | WT | WT COD | REPT DT | TO MFR | OCCP COD | REPORTER COUNTRY | OCCR COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 105875031 | 10587503 | 1 | I | 20141026 | 20141106 | 20141117 | 20141117 | PER | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2014-BI-53617BP | BOEHRINGER INGELHEIM | 79.59 | YR | F | Y | 83.91000 | KG | 20141117 | N | CN | US | US |
Drug(s) used by person
| Event ID | CASEID | DRUG SEQ | ROLE COD | DRUGNAME | PROD AI | VAL VBM | ROUTE | DOSE VBM | CUM DOSE CHR | CUM DOSE UNIT | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM | DOSE AMT | DOSE UNIT | DOSE FORM | DOSE FREQ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 105875031 | 10587503 | 1 | PS | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | INHALATION | 18 MCG | D | 404428A,14C3206 | 21395 | 18 | UG | INHALATION POWDER, HARD CAPSULE | QD | ||||
| 105875031 | 10587503 | 2 | C | COMBIVENT | ALBUTEROL SULFATEIPRATROPIUM BROMIDE | 1 | INHALATION | DOSE PER APPLICATION: 20 MCG / 400 MCG; DAILY DOSE: 80 MCG / 400 MCG | D | 0 | PRESSURISED INHALATION | QID | |||||||
| 105875031 | 10587503 | 3 | C | NORVASC | AMLODIPINE BESYLATE | 1 | ORAL | 7.5 MG | D | 0 | 7.5 | MG | TABLET | QD | |||||
| 105875031 | 10587503 | 4 | C | DIOVAN | VALSARTAN | 1 | ORAL | 20 MG | D | 0 | 20 | MG | TABLET | QD | |||||
| 105875031 | 10587503 | 5 | C | ZOLOFT | SERTRALINE HYDROCHLORIDE | 1 | ORAL | 10 MG | D | 0 | 10 | MG | CAPSULE | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 105875031 | 10587503 | 1 | Emphysema |
| 105875031 | 10587503 | 2 | Emphysema |
| 105875031 | 10587503 | 3 | Hypertension |
| 105875031 | 10587503 | 4 | Hypertension |
| 105875031 | 10587503 | 5 | Hypertension |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 105875031 | 10587503 | Chest discomfort | |
| 105875031 | 10587503 | Dysphonia | |
| 105875031 | 10587503 | Oropharyngeal pain |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 105875031 | 10587503 | 1 | 20141015 | 20141026 | 0 | |
| 105875031 | 10587503 | 2 | 2013 | 201410 | 0 |