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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 109657996 | 10965799 | 6 | F | 20150306 | 20160810 | 20150330 | 20160817 | EXP | CA-ROCHE-1557636 | ROCHE | 19.98 | YR | M | Y | 0.00000 | 20160817 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 109657996 | 10965799 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | 103976 | 300 | MG | SOLUTION FOR INJECTION | QOW | ||||||
| 109657996 | 10965799 | 2 | C | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Unknown | U | 0 | ||||||||||
| 109657996 | 10965799 | 3 | C | PREDNISONE. | PREDNISONE | 1 | Unknown | UNK | U | 0 | |||||||||
| 109657996 | 10965799 | 4 | C | VENTOLIN | ALBUTEROL SULFATE | 1 | Unknown | U | 0 | ||||||||||
| 109657996 | 10965799 | 5 | C | HUMALOG | INSULIN LISPRO | 1 | Unknown | U | 0 | ||||||||||
| 109657996 | 10965799 | 6 | C | LANTUS | INSULIN GLARGINE | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 109657996 | 10965799 | 1 | Asthma |
| 109657996 | 10965799 | 2 | Product used for unknown indication |
| 109657996 | 10965799 | 3 | Product used for unknown indication |
| 109657996 | 10965799 | 4 | Product used for unknown indication |
| 109657996 | 10965799 | 5 | Product used for unknown indication |
| 109657996 | 10965799 | 6 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 109657996 | 10965799 | OT |
| 109657996 | 10965799 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 109657996 | 10965799 | Asthma | |
| 109657996 | 10965799 | Chest discomfort | |
| 109657996 | 10965799 | Diabetes mellitus | |
| 109657996 | 10965799 | Dyspnoea | |
| 109657996 | 10965799 | Glaucoma | |
| 109657996 | 10965799 | Malaise | |
| 109657996 | 10965799 | Middle insomnia | |
| 109657996 | 10965799 | Panic attack |
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 |
|---|---|---|---|---|---|---|
| 109657996 | 10965799 | 1 | 20141212 | 0 |