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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100598796 | 10059879 | 6 | F | 20130320 | 20160824 | 20140404 | 20160829 | EXP | US-GLAXOSMITHKLINE-A1066920A | GLAXOSMITHKLINE | 28.39 | YR | M | Y | 0.00000 | 20160829 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100598796 | 10059879 | 1 | PS | VENTOLIN | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | 2 PUFFS AS REQUIRED | U | UNKNOWN | 20983 | 2 | DF | ||||||
| 100598796 | 10059879 | 2 | SS | ALBUTEROL. | ALBUTEROL | 1 | U | 20983 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 100598796 | 10059879 | 1 | Asthma |
| 100598796 | 10059879 | 2 | Asthma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 100598796 | 10059879 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 100598796 | 10059879 | Abdominal discomfort | |
| 100598796 | 10059879 | Asthma | |
| 100598796 | 10059879 | Choking | |
| 100598796 | 10059879 | Drug ineffective | |
| 100598796 | 10059879 | Emotional distress | |
| 100598796 | 10059879 | Fall | |
| 100598796 | 10059879 | Fear | |
| 100598796 | 10059879 | Foreign body | |
| 100598796 | 10059879 | Impaired work ability | |
| 100598796 | 10059879 | Loss of consciousness | |
| 100598796 | 10059879 | Mouth haemorrhage | |
| 100598796 | 10059879 | Oropharyngeal pain | |
| 100598796 | 10059879 | Product quality issue | |
| 100598796 | 10059879 | Pulmonary function test decreased |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |