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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 110710694 | 11071069 | 4 | F | 2012 | 20160804 | 20150428 | 20160815 | EXP | BR-ROCHE-1569152 | ROCHE | 52.65 | YR | F | Y | 98.00000 | KG | 20160815 | CN | BR | BR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 110710694 | 11071069 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | 103976 | 150 | MG | SOLUTION FOR INJECTION | |||||||
| 110710694 | 11071069 | 2 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | 103976 | 150 | MG | SOLUTION FOR INJECTION | |||||||
| 110710694 | 11071069 | 3 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | 103976 | 150 | MG | SOLUTION FOR INJECTION | |||||||
| 110710694 | 11071069 | 4 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | 103976 | SOLUTION FOR INJECTION | |||||||||
| 110710694 | 11071069 | 5 | SS | CARDIZEM | DILTIAZEM HYDROCHLORIDE | 1 | Unknown | 0 | 60 | MG | BID | ||||||||
| 110710694 | 11071069 | 6 | C | ONBRIZE | INDACATEROL MALEATE | 1 | Unknown | 0 | QD | ||||||||||
| 110710694 | 11071069 | 7 | C | BUSONID | BUDESONIDE | 1 | 0 | ||||||||||||
| 110710694 | 11071069 | 8 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Oral | EXTENDED RELEASE | 0 | TABLET | |||||||||
| 110710694 | 11071069 | 9 | C | RIVOTRIL | CLONAZEPAM | 1 | Oral | 0 | TABLET | ||||||||||
| 110710694 | 11071069 | 10 | C | INDAPEN | INDAPAMIDE | 1 | Unknown | SLOW RELEASE | 0 | TABLET | |||||||||
| 110710694 | 11071069 | 11 | C | CARVEDILOL. | CARVEDILOL | 1 | Oral | 0 | TABLET | ||||||||||
| 110710694 | 11071069 | 12 | C | PREDSIM | PREDNISOLONE | 1 | Unknown | 0 | 20 | MG | TABLET | ||||||||
| 110710694 | 11071069 | 13 | C | VASTAREL | TRIMETAZIDINE DIHYDROCHLORIDE | 1 | 0 | ||||||||||||
| 110710694 | 11071069 | 14 | C | AZUKON | GLICLAZIDE | 1 | Unknown | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 110710694 | 11071069 | 1 | Asthma |
| 110710694 | 11071069 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 110710694 | 11071069 | OT |
| 110710694 | 11071069 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 110710694 | 11071069 | Anxiety | |
| 110710694 | 11071069 | Asthenia | |
| 110710694 | 11071069 | Blood glucose abnormal | |
| 110710694 | 11071069 | Blood potassium decreased | |
| 110710694 | 11071069 | Chest pain | |
| 110710694 | 11071069 | Chronic obstructive pulmonary disease | |
| 110710694 | 11071069 | Depression | |
| 110710694 | 11071069 | Diarrhoea | |
| 110710694 | 11071069 | Discomfort | |
| 110710694 | 11071069 | Dizziness | |
| 110710694 | 11071069 | Dyspnoea | |
| 110710694 | 11071069 | Dysstasia | |
| 110710694 | 11071069 | Emotional disorder | |
| 110710694 | 11071069 | Fatigue | |
| 110710694 | 11071069 | Gait disturbance | |
| 110710694 | 11071069 | Gastrointestinal infection | |
| 110710694 | 11071069 | Heart rate increased | |
| 110710694 | 11071069 | Influenza | |
| 110710694 | 11071069 | Lung disorder | |
| 110710694 | 11071069 | Malaise | |
| 110710694 | 11071069 | Pallor | |
| 110710694 | 11071069 | Rash | |
| 110710694 | 11071069 | Urinary tract infection | |
| 110710694 | 11071069 | Vision blurred | |
| 110710694 | 11071069 | Weight decreased | |
| 110710694 | 11071069 | Weight increased |
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 |
|---|---|---|---|---|---|---|
| 110710694 | 11071069 | 1 | 20101001 | 0 | ||
| 110710694 | 11071069 | 3 | 20101001 | 0 | ||
| 110710694 | 11071069 | 4 | 20150327 | 0 | ||
| 110710694 | 11071069 | 5 | 20150327 | 0 |