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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100520878 | 10052087 | 8 | F | 201502 | 20160705 | 20140402 | 20160718 | EXP | CA-ROCHE-1375617 | ROCHE | 59.91 | YR | M | Y | 0.00000 | 20160718 | CN | CA | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100520878 | 10052087 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0060A | 103976 | 300 | MG | SOLUTION FOR INJECTION | QOW | |||||
| 100520878 | 10052087 | 2 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0060A | 103976 | 300 | MG | QOW | ||||||
| 100520878 | 10052087 | 3 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0060A | 103976 | |||||||||
| 100520878 | 10052087 | 4 | C | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | 0 | ||||||||||||
| 100520878 | 10052087 | 5 | C | AERIUS (CANADA) | 2 | 0 | |||||||||||||
| 100520878 | 10052087 | 6 | C | OMNARIS | CICLESONIDE | 1 | 0 | ||||||||||||
| 100520878 | 10052087 | 7 | C | VENTOLINE | ALBUTEROL | 1 | 0 | ||||||||||||
| 100520878 | 10052087 | 8 | C | PROZAC | FLUOXETINE HYDROCHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 100520878 | 10052087 | 1 | Asthma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 100520878 | 10052087 | HO |
| 100520878 | 10052087 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 100520878 | 10052087 | Asthma | |
| 100520878 | 10052087 | Blood pressure increased | |
| 100520878 | 10052087 | Bronchitis | |
| 100520878 | 10052087 | Chest pain | |
| 100520878 | 10052087 | Chills | |
| 100520878 | 10052087 | Cough | |
| 100520878 | 10052087 | Dizziness | |
| 100520878 | 10052087 | Fatigue | |
| 100520878 | 10052087 | Headache | |
| 100520878 | 10052087 | Influenza | |
| 100520878 | 10052087 | Insomnia | |
| 100520878 | 10052087 | Malaise | |
| 100520878 | 10052087 | Nasopharyngitis | |
| 100520878 | 10052087 | Nephrolithiasis | |
| 100520878 | 10052087 | Pharyngitis | |
| 100520878 | 10052087 | Pyrexia |
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 |
|---|---|---|---|---|---|---|
| 100520878 | 10052087 | 1 | 20100405 | 0 | ||
| 100520878 | 10052087 | 2 | 20150519 | 0 | ||
| 100520878 | 10052087 | 3 | 20160223 | 0 |