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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 105238878 | 10523887 | 8 | F | 20140523 | 20160624 | 20141017 | 20160701 | EXP | CA-ROCHE-1475932 | ROCHE | 13.19 | YR | F | Y | 0.00000 | 20160701 | MD | CA | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 105238878 | 10523887 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0062 | 103976 | 300 | MG | |||||||
| 105238878 | 10523887 | 2 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0062 | 103976 | |||||||||
| 105238878 | 10523887 | 3 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0062 | 103976 | |||||||||
| 105238878 | 10523887 | 4 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0062 | 103976 | |||||||||
| 105238878 | 10523887 | 5 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0062 | 103976 | |||||||||
| 105238878 | 10523887 | 6 | C | AVAMYS | FLUTICASONE FUROATE | 1 | Nasal | UNK | U | 0 | SUSPENSION AND SOLUTION FOR SPRAY |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 105238878 | 10523887 | 1 | Asthma |
| 105238878 | 10523887 | 6 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 105238878 | 10523887 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 105238878 | 10523887 | Asthma | |
| 105238878 | 10523887 | Blood pressure diastolic decreased | |
| 105238878 | 10523887 | Body temperature decreased | |
| 105238878 | 10523887 | Chest pain | |
| 105238878 | 10523887 | Middle insomnia | |
| 105238878 | 10523887 | Rhinitis allergic | |
| 105238878 | 10523887 | Varicella |
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 |
|---|---|---|---|---|---|---|
| 105238878 | 10523887 | 1 | 20140116 | 0 | ||
| 105238878 | 10523887 | 2 | 20140228 | 0 | ||
| 105238878 | 10523887 | 3 | 20140523 | 0 | ||
| 105238878 | 10523887 | 4 | 20140620 | 0 | ||
| 105238878 | 10523887 | 5 | 20160401 | 0 |