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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 101631483 | 10163148 | 3 | F | 20160823 | 20140509 | 20160825 | EXP | US-GLAXOSMITHKLINE-A1072489A | GLAXOSMITHKLINE | 0.00 | F | Y | 0.00000 | 20160825 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 101631483 | 10163148 | 1 | PS | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | UNK, U | U | 21077 | INHALATION POWDER | |||||||||
| 101631483 | 10163148 | 2 | SS | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Unknown | 500/50 MCG UNK, U | U | UNKNOWN | 21077 | INHALATION POWDER | |||||||
| 101631483 | 10163148 | 3 | SS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | UNK, U | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 101631483 | 10163148 | 1 | Product used for unknown indication |
| 101631483 | 10163148 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 101631483 | 10163148 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 101631483 | 10163148 | Anxiety | |
| 101631483 | 10163148 | Condition aggravated | |
| 101631483 | 10163148 | Drug dose omission | |
| 101631483 | 10163148 | Ill-defined disorder | |
| 101631483 | 10163148 | Memory impairment | |
| 101631483 | 10163148 | Mental impairment | |
| 101631483 | 10163148 | Treatment noncompliance |
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 |
|---|---|---|---|---|---|---|
| 101631483 | 10163148 | 3 | 20141226 | 0 |