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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 104112092 | 10411209 | 2 | F | 201401 | 20160913 | 20140826 | 20160928 | PER | US-ASTRAZENECA-2014SE19350 | ASTRAZENECA | 654.00 | MON | M | Y | 81.60000 | KG | 20160928 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 104112092 | 10411209 | 1 | PS | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | 160/4.5 MCG; 2 INHALATIONS BID | U | U | 21929 | ||||||||
| 104112092 | 10411209 | 2 | SS | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | 160/4.5 MCG; 2 INHALATIONS BID | U | U | 21929 | ||||||||
| 104112092 | 10411209 | 3 | C | COMBIVENT | ALBUTEROL SULFATEIPRATROPIUM BROMIDE | 1 | Respiratory (inhalation) | 20-100 MCG DAILY | 0 | ||||||||||
| 104112092 | 10411209 | 4 | C | ALBUTEROL SULFATE. | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | NOT REPORTED PRN | 0 | ||||||||||
| 104112092 | 10411209 | 5 | C | MONTELUKAST | MONTELUKAST SODIUM | 1 | Oral | 0 | 10 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 104112092 | 10411209 | 1 | Asthma |
| 104112092 | 10411209 | 2 | Chronic obstructive pulmonary disease |
| 104112092 | 10411209 | 3 | Asthma |
| 104112092 | 10411209 | 5 | Hypersensitivity |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 104112092 | 10411209 | Drug dose omission | |
| 104112092 | 10411209 | Feeding disorder | |
| 104112092 | 10411209 | Oral candidiasis | |
| 104112092 | 10411209 | Oral discomfort | |
| 104112092 | 10411209 | Oral pain | |
| 104112092 | 10411209 | Tongue discomfort |
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 |
|---|---|---|---|---|---|---|
| 104112092 | 10411209 | 1 | 201401 | 20141219 | 0 | |
| 104112092 | 10411209 | 2 | 201401 | 20141219 | 0 |