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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 109697596 | 10969759 | 6 | F | 201501 | 20160912 | 20150331 | 20160920 | EXP | AR-ROCHE-1557627 | ROCHE | 72.83 | YR | F | Y | 0.00000 | 20160920 | CN | AR | AR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 109697596 | 10969759 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Unknown | 4 VIALS (150 MG) EVERY 2 WEEKS | Y | 103976 | 2 | DF | |||||||
| 109697596 | 10969759 | 2 | SS | XOLAIR | OMALIZUMAB | 1 | Unknown | FOUR MONTHLY APPLICATIONS | Y | 103976 | 150 | MG | |||||||
| 109697596 | 10969759 | 3 | SS | XOLAIR | OMALIZUMAB | 1 | Unknown | Y | 103976 | 2 | DF | ||||||||
| 109697596 | 10969759 | 4 | SS | XOLAIR | OMALIZUMAB | 1 | Unknown | Y | 103976 | 2 | DF | ||||||||
| 109697596 | 10969759 | 5 | SS | XOLAIR | OMALIZUMAB | 1 | Unknown | Y | 103976 | 2 | DF | ||||||||
| 109697596 | 10969759 | 6 | C | POLPER B12 | 2 | Unknown | U | 0 | |||||||||||
| 109697596 | 10969759 | 7 | C | IPRATROPIUM | IPRATROPIUM | 1 | Respiratory (inhalation) | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 109697596 | 10969759 | 1 | Bronchiectasis |
| 109697596 | 10969759 | 2 | Asthma |
| 109697596 | 10969759 | 6 | Product used for unknown indication |
| 109697596 | 10969759 | 7 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 109697596 | 10969759 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 109697596 | 10969759 | Abdominal pain upper | |
| 109697596 | 10969759 | Anaemia | |
| 109697596 | 10969759 | Anxiety | |
| 109697596 | 10969759 | Aphonia | |
| 109697596 | 10969759 | Balance disorder | |
| 109697596 | 10969759 | Chest pain | |
| 109697596 | 10969759 | Decreased appetite | |
| 109697596 | 10969759 | Dysphonia | |
| 109697596 | 10969759 | Fall | |
| 109697596 | 10969759 | Fear | |
| 109697596 | 10969759 | Finger deformity | |
| 109697596 | 10969759 | Fracture | |
| 109697596 | 10969759 | Humerus fracture | |
| 109697596 | 10969759 | Infective exacerbation of bronchiectasis | |
| 109697596 | 10969759 | Influenza | |
| 109697596 | 10969759 | Malaise | |
| 109697596 | 10969759 | Nasopharyngitis | |
| 109697596 | 10969759 | Off label use | |
| 109697596 | 10969759 | Pain in extremity | |
| 109697596 | 10969759 | Pneumonia | |
| 109697596 | 10969759 | Productive cough | |
| 109697596 | 10969759 | Pulmonary pain | |
| 109697596 | 10969759 | Pyrexia | |
| 109697596 | 10969759 | Upper limb fracture | |
| 109697596 | 10969759 | Urinary tract infection | |
| 109697596 | 10969759 | Vitamin B12 deficiency | |
| 109697596 | 10969759 | Vomiting |
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 |
|---|---|---|---|---|---|---|
| 109697596 | 10969759 | 1 | 201010 | 0 | ||
| 109697596 | 10969759 | 2 | 2013 | 0 | ||
| 109697596 | 10969759 | 3 | 201502 | 0 | ||
| 109697596 | 10969759 | 4 | 201502 | 0 | ||
| 109697596 | 10969759 | 5 | 20160526 | 0 |