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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 105829019 | 10582901 | 9 | F | 201406 | 20160921 | 20141114 | 20160926 | EXP | CA-ROCHE-1423515 | ROCHE | 54.59 | YR | M | Y | 0.00000 | 20160926 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 105829019 | 10582901 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0062,S0066B,S0003C | 103976 | 300 | MG | SOLUTION FOR INJECTION | QOW | |||||
| 105829019 | 10582901 | 2 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0062,S0066B,S0003C | 103976 | SOLUTION FOR INJECTION | ||||||||
| 105829019 | 10582901 | 3 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0062,S0066B,S0003C | 103976 | SOLUTION FOR INJECTION | ||||||||
| 105829019 | 10582901 | 4 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0062,S0066B,S0003C | 103976 | SOLUTION FOR INJECTION | ||||||||
| 105829019 | 10582901 | 5 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0062,S0066B,S0003C | 103976 | SOLUTION FOR INJECTION | ||||||||
| 105829019 | 10582901 | 6 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0062,S0066B,S0003C | 103976 | SOLUTION FOR INJECTION | ||||||||
| 105829019 | 10582901 | 7 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0062,S0066B,S0003C | 103976 | SOLUTION FOR INJECTION | ||||||||
| 105829019 | 10582901 | 8 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0062,S0066B,S0003C | 103976 | SOLUTION FOR INJECTION | ||||||||
| 105829019 | 10582901 | 9 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0062,S0066B,S0003C | 103976 | SOLUTION FOR INJECTION | ||||||||
| 105829019 | 10582901 | 10 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0062,S0066B,S0003C | 103976 | SOLUTION FOR INJECTION | ||||||||
| 105829019 | 10582901 | 11 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Unknown | U | 0 | ||||||||||
| 105829019 | 10582901 | 12 | C | ALVESCO | CICLESONIDE | 1 | Unknown | U | 0 | ||||||||||
| 105829019 | 10582901 | 13 | C | SINGULAIR | MONTELUKAST SODIUM | 1 | Unknown | U | 0 | ||||||||||
| 105829019 | 10582901 | 14 | C | NEXIUM | ESOMEPRAZOLE MAGNESIUM | 1 | Unknown | U | 0 | ||||||||||
| 105829019 | 10582901 | 15 | C | NASONEX | MOMETASONE FUROATE | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 105829019 | 10582901 | 1 | Asthma |
| 105829019 | 10582901 | 11 | Product used for unknown indication |
| 105829019 | 10582901 | 12 | Product used for unknown indication |
| 105829019 | 10582901 | 13 | Product used for unknown indication |
| 105829019 | 10582901 | 14 | Product used for unknown indication |
| 105829019 | 10582901 | 15 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 105829019 | 10582901 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 105829019 | 10582901 | Blood pressure increased | |
| 105829019 | 10582901 | Cellulitis | |
| 105829019 | 10582901 | Hypersensitivity | |
| 105829019 | 10582901 | Lower respiratory tract infection | |
| 105829019 | 10582901 | Nasopharyngitis | |
| 105829019 | 10582901 | Stress |
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 |
|---|---|---|---|---|---|---|
| 105829019 | 10582901 | 1 | 20101027 | 0 | ||
| 105829019 | 10582901 | 2 | 20141105 | 0 | ||
| 105829019 | 10582901 | 3 | 20150804 | 0 | ||
| 105829019 | 10582901 | 4 | 20151118 | 0 | ||
| 105829019 | 10582901 | 5 | 20160309 | 0 | ||
| 105829019 | 10582901 | 6 | 20160504 | 0 | ||
| 105829019 | 10582901 | 7 | 20160713 | 0 | ||
| 105829019 | 10582901 | 8 | 20160727 | 0 | ||
| 105829019 | 10582901 | 9 | 20160907 | 0 | ||
| 105829019 | 10582901 | 10 | 20160921 | 0 |