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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 102095894 | 10209589 | 4 | F | 20140626 | 20140602 | 20160912 | EXP | US-ROCHE-1366308 | ROCHE | 0.00 | F | Y | 0.00000 | 20160912 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 102095894 | 10209589 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | 103976 | 150 | MG | SOLUTION FOR INJECTION | QOW | ||||||
| 102095894 | 10209589 | 2 | C | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Unknown | 250/50 MC | 0 | ||||||||||
| 102095894 | 10209589 | 3 | C | SINGULAIR | MONTELUKAST SODIUM | 1 | Unknown | AT BREAKFAST | 0 | 10 | MG | ||||||||
| 102095894 | 10209589 | 4 | C | PREDNISONE. | PREDNISONE | 1 | 0 | ||||||||||||
| 102095894 | 10209589 | 5 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Unknown | 1 AT NIGHT | 0 | 18 | UG | ||||||||
| 102095894 | 10209589 | 6 | C | NASONEX | MOMETASONE FUROATE | 1 | Unknown | TWICE A DAY, MORNING AND EVENING, EACH NOSTRIL | 0 | 17 | G | ||||||||
| 102095894 | 10209589 | 7 | C | DULERA | FORMOTEROL FUMARATE DIHYDRATEMOMETASONE FUROATE | 1 | Unknown | TWICE A DAY, HAS BEEN DISCONTINUED | 0 | ||||||||||
| 102095894 | 10209589 | 8 | C | JANUMET | METFORMIN HYDROCHLORIDESITAGLIPTIN PHOSPHATE | 1 | Unknown | ON HOLD | 0 | ||||||||||
| 102095894 | 10209589 | 9 | C | NEURONTIN | GABAPENTIN | 1 | 0 | ||||||||||||
| 102095894 | 10209589 | 10 | C | PROTONIX | PANTOPRAZOLE SODIUM | 1 | Unknown | WITH BREAKFAST AND SUPPER | 0 | 40 | MG | ||||||||
| 102095894 | 10209589 | 11 | C | VISTARIL | HYDROXYZINE PAMOATE | 1 | Unknown | FOR BREAKING OUT AND ITCHING | 0 | 50 | MG | ||||||||
| 102095894 | 10209589 | 12 | C | TOPAMAX | TOPIRAMATE | 1 | Unknown | 2 A DAY AT BREAKFAST AND SUPPER | 0 | ||||||||||
| 102095894 | 10209589 | 13 | C | RANITIDINE. | RANITIDINE | 1 | Unknown | THROAT BURING | 0 | 150 | MG | ||||||||
| 102095894 | 10209589 | 14 | C | CYCLOBENZAPRINE | CYCLOBENZAPRINE | 1 | Unknown | AT BEDTIME | 0 | 10 | MG | ||||||||
| 102095894 | 10209589 | 15 | C | GLYNASE | GLYBURIDE | 1 | Unknown | TWICE DAILY | 0 | 6 | MG | ||||||||
| 102095894 | 10209589 | 16 | C | WELLBUTRIN | BUPROPION HYDROCHLORIDE | 1 | Unknown | AT BREAKFAST AND SUPPER | 0 | 100 | MG | ||||||||
| 102095894 | 10209589 | 17 | C | XANAX | ALPRAZOLAM | 1 | Unknown | 1 IN MORNING + AFTERNOON, 2 AT BEDTIME | 0 | 1 | MG | ||||||||
| 102095894 | 10209589 | 18 | C | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | Unknown | AT BREAKFAST AND BEDTIME | 0 | 60 | MG | ||||||||
| 102095894 | 10209589 | 19 | C | IPRATROPIUM BROMIDE. | IPRATROPIUM BROMIDE | 1 | Unknown | 4 TIMES A DAY | 0 | ||||||||||
| 102095894 | 10209589 | 20 | C | ALENDRONATE | ALENDRONATE SODIUM | 1 | Unknown | 4 ON MONDAY FOR 4 WEEKS | 0 | 70 | MG | TABLET | |||||||
| 102095894 | 10209589 | 21 | C | GABAPENTIN. | GABAPENTIN | 1 | 0 | ||||||||||||
| 102095894 | 10209589 | 22 | C | ZANAFLEX | TIZANIDINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 102095894 | 10209589 | 23 | C | ALBUTEROL. | ALBUTEROL | 1 | 0 | ||||||||||||
| 102095894 | 10209589 | 24 | C | ATEROL | 2 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 102095894 | 10209589 | 1 | Asthma |
| 102095894 | 10209589 | 2 | Asthma |
| 102095894 | 10209589 | 3 | Asthma |
| 102095894 | 10209589 | 15 | Diabetes mellitus |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 102095894 | 10209589 | OT |
| 102095894 | 10209589 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 102095894 | 10209589 | Asthma | |
| 102095894 | 10209589 | Blood gases abnormal | |
| 102095894 | 10209589 | Chest discomfort | |
| 102095894 | 10209589 | Cough | |
| 102095894 | 10209589 | Dyspnoea | |
| 102095894 | 10209589 | Fall | |
| 102095894 | 10209589 | Food allergy | |
| 102095894 | 10209589 | Gastrooesophageal reflux disease | |
| 102095894 | 10209589 | Lung disorder | |
| 102095894 | 10209589 | Lung neoplasm | |
| 102095894 | 10209589 | Memory impairment | |
| 102095894 | 10209589 | Muscle spasms | |
| 102095894 | 10209589 | Musculoskeletal pain | |
| 102095894 | 10209589 | Neuropathy peripheral | |
| 102095894 | 10209589 | Pallor | |
| 102095894 | 10209589 | Pneumonia | |
| 102095894 | 10209589 | Pulmonary cavitation | |
| 102095894 | 10209589 | Pulmonary mass | |
| 102095894 | 10209589 | Respiratory disorder | |
| 102095894 | 10209589 | Restless legs syndrome | |
| 102095894 | 10209589 | Somnolence | |
| 102095894 | 10209589 | Type 2 diabetes mellitus | |
| 102095894 | 10209589 | Vomiting | |
| 102095894 | 10209589 | Weight increased | |
| 102095894 | 10209589 | Wheezing |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |