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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 104006624 | 10400662 | 4 | F | 2012 | 20160629 | 20140821 | 20160707 | EXP | US-ASTRAZENECA-2014SE03102 | ASTRAZENECA | 61.00 | YR | F | Y | 45.40000 | KG | 20160707 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 104006624 | 10400662 | 1 | PS | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | 160/4.5 MICROGRAMS, 2 PUFFS TWO TIMES A DAY | Y | U | 21929 | BID | |||||||
| 104006624 | 10400662 | 2 | SS | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | 160/4.5 MICROGRAMS, 2 PUFFS TWO TIMES A DAY | Y | U | 21929 | BID | |||||||
| 104006624 | 10400662 | 3 | C | PROAIR HFA | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | 8.5 GM 2 PUFFS Q4 HRS PRN | 0 | ||||||||||
| 104006624 | 10400662 | 4 | C | PROAIR HFA | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | 8.5 GM 2 PUFFS Q4 HRS PRN | 0 | ||||||||||
| 104006624 | 10400662 | 5 | C | PROAIR HFA | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | ALBUTEROL | 0 | ||||||||||
| 104006624 | 10400662 | 6 | C | PROAIR HFA | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | ALBUTEROL | 0 | ||||||||||
| 104006624 | 10400662 | 7 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Respiratory (inhalation) | 0 | 1 | DF | QD | ||||||||
| 104006624 | 10400662 | 8 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Respiratory (inhalation) | 0 | 1 | DF | QD | ||||||||
| 104006624 | 10400662 | 9 | C | AZELAZTINE HCL | 2 | 0 | |||||||||||||
| 104006624 | 10400662 | 10 | C | FORTE | 2 | 0 | |||||||||||||
| 104006624 | 10400662 | 11 | C | ALLERGY MEDICATION | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 104006624 | 10400662 | 12 | C | BLOOD PRESSURE PILL | UNSPECIFIED INGREDIENT | 1 | 0 | ||||||||||||
| 104006624 | 10400662 | 13 | C | SLEEPING PILL | 2 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 104006624 | 10400662 | 1 | Lung disorder |
| 104006624 | 10400662 | 2 | Chronic obstructive pulmonary disease |
| 104006624 | 10400662 | 3 | Lung disorder |
| 104006624 | 10400662 | 4 | Chronic obstructive pulmonary disease |
| 104006624 | 10400662 | 5 | Lung disorder |
| 104006624 | 10400662 | 6 | Chronic obstructive pulmonary disease |
| 104006624 | 10400662 | 7 | Lung disorder |
| 104006624 | 10400662 | 8 | Chronic obstructive pulmonary disease |
| 104006624 | 10400662 | 9 | Hypersensitivity |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 104006624 | 10400662 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 104006624 | 10400662 | Bone disorder | |
| 104006624 | 10400662 | Cardio-respiratory arrest | |
| 104006624 | 10400662 | Cough | |
| 104006624 | 10400662 | Hypersensitivity | |
| 104006624 | 10400662 | Malaise | |
| 104006624 | 10400662 | Off label use | |
| 104006624 | 10400662 | Oral candidiasis | |
| 104006624 | 10400662 | Product use issue | |
| 104006624 | 10400662 | Sinusitis | |
| 104006624 | 10400662 | Somnolence | |
| 104006624 | 10400662 | Tongue coated |
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 |
|---|---|---|---|---|---|---|
| 104006624 | 10400662 | 1 | 2012 | 0 | ||
| 104006624 | 10400662 | 2 | 2012 | 0 | ||
| 104006624 | 10400662 | 3 | 2012 | 0 | ||
| 104006624 | 10400662 | 4 | 2012 | 0 | ||
| 104006624 | 10400662 | 7 | 2012 | 0 | ||
| 104006624 | 10400662 | 8 | 2012 | 0 |