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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 107598212 | 10759821 | 2 | F | 2005 | 20160919 | 20150203 | 20160921 | EXP | US-GLAXOSMITHKLINE-US2015013401 | GLAXOSMITHKLINE | 56.11 | YR | F | Y | 0.00000 | 20160921 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 107598212 | 10759821 | 1 | PS | ADVAIR DISKUS | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Respiratory (inhalation) | 1 PUFF(S), BID | UNKNOWN | 21077 | 1 | DF | INHALATION POWDER | BID | |||||
| 107598212 | 10759821 | 2 | SS | ADVAIR DISKUS | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | UNK | UNKNOWN | 21077 | INHALATION POWDER | |||||||||
| 107598212 | 10759821 | 3 | SS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | 2 PUFF(S), PRN | UNKNOWN | 0 | 2 | DF | |||||||
| 107598212 | 10759821 | 4 | SS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | UNK | UNKNOWN | 0 | ||||||||||
| 107598212 | 10759821 | 5 | C | FLEXERIL | CYCLOBENZAPRINE HYDROCHLORIDE | 1 | U | 0 | |||||||||||
| 107598212 | 10759821 | 6 | C | NEURONTIN | GABAPENTIN | 1 | U | 0 | |||||||||||
| 107598212 | 10759821 | 7 | C | PERCOCET | ACETAMINOPHENOXYCODONE HYDROCHLORIDE | 1 | U | 0 | |||||||||||
| 107598212 | 10759821 | 8 | C | SINGULAIR | MONTELUKAST SODIUM | 1 | U | 0 | |||||||||||
| 107598212 | 10759821 | 9 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 107598212 | 10759821 | 1 | Chronic obstructive pulmonary disease |
| 107598212 | 10759821 | 3 | Chronic obstructive pulmonary disease |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 107598212 | 10759821 | HO |
| 107598212 | 10759821 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 107598212 | 10759821 | Back injury | |
| 107598212 | 10759821 | Fall | |
| 107598212 | 10759821 | Off label use | |
| 107598212 | 10759821 | Sialoadenitis | |
| 107598212 | 10759821 | Spinal operation |
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 |
|---|---|---|---|---|---|---|
| 107598212 | 10759821 | 1 | 2005 | 0 | ||
| 107598212 | 10759821 | 3 | 2005 | 0 |