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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 107892502 | 10789250 | 2 | F | 201506 | 20160826 | 20150212 | 20160831 | EXP | US-GLAXOSMITHKLINE-A1088158A | GLAXOSMITHKLINE | 82.01 | YR | M | Y | 0.00000 | 20160831 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 107892502 | 10789250 | 1 | PS | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Unknown | 250/50 MCG, UNKNOWN DOSING | UNKNOWN | 21077 | INHALATION POWDER | ||||||||
| 107892502 | 10789250 | 2 | SS | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Respiratory (inhalation) | 250/50 UG, 1 PUFF(S), BID | 21077 | 1 | DF | INHALATION POWDER | BID | ||||||
| 107892502 | 10789250 | 3 | C | MONTELUKAST | MONTELUKAST SODIUM | 1 | U | 0 | |||||||||||
| 107892502 | 10789250 | 4 | C | ATORVASTATIN | ATORVASTATIN | 1 | U | 0 | |||||||||||
| 107892502 | 10789250 | 5 | C | CARVEDILOL. | CARVEDILOL | 1 | U | 0 | |||||||||||
| 107892502 | 10789250 | 6 | C | OMEGA-3 FISH OIL | FISH OILOMEGA-3 FATTY ACIDS | 1 | U | 0 | |||||||||||
| 107892502 | 10789250 | 7 | C | ASPIRIN. | ASPIRIN | 1 | U | 0 | |||||||||||
| 107892502 | 10789250 | 8 | C | BUMETANIDE. | BUMETANIDE | 1 | U | 0 | |||||||||||
| 107892502 | 10789250 | 9 | C | LOSARTAN. | LOSARTAN | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 107892502 | 10789250 | 1 | Asthma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 107892502 | 10789250 | HO |
| 107892502 | 10789250 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 107892502 | 10789250 | Cardiac failure congestive | |
| 107892502 | 10789250 | Drug dose omission | |
| 107892502 | 10789250 | Dyspnoea | |
| 107892502 | 10789250 | Hernia repair | |
| 107892502 | 10789250 | Implantable defibrillator insertion | |
| 107892502 | 10789250 | Treatment noncompliance |
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 |
|---|---|---|---|---|---|---|
| 107892502 | 10789250 | 1 | 1999 | 0 |