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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 110739978 | 11073997 | 8 | F | 20150126 | 20160906 | 20150429 | 20160916 | EXP | CA-ROCHE-1570298 | ROCHE | 58.74 | YR | M | Y | 0.00000 | 20160916 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 110739978 | 11073997 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | Y | 103976 | 300 | UG | SOLUTION FOR INJECTION | QOW | ||||||
| 110739978 | 11073997 | 2 | SS | SEEBRI | GLYCOPYRRONIUM | 1 | Respiratory (inhalation) | 1 PUFF | U | 0 | 1 | DF | QD | ||||||
| 110739978 | 11073997 | 3 | SS | METOPROLOL. | METOPROLOL | 1 | Oral | U | 0 | 25 | MG | TABLET | BID | ||||||
| 110739978 | 11073997 | 4 | SS | METOPROLOL. | METOPROLOL | 1 | Oral | HALF TABLET TWICE DAILY | U | 0 | TABLET | ||||||||
| 110739978 | 11073997 | 5 | C | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Unknown | 50/500 UG | 0 | ||||||||||
| 110739978 | 11073997 | 6 | C | OXEZE | 2 | 0 | |||||||||||||
| 110739978 | 11073997 | 7 | C | PREDNISONE. | PREDNISONE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 110739978 | 11073997 | 1 | Asthma |
| 110739978 | 11073997 | 2 | Asthma |
| 110739978 | 11073997 | 3 | Heart rate irregular |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 110739978 | 11073997 | OT |
| 110739978 | 11073997 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 110739978 | 11073997 | Appendicitis | |
| 110739978 | 11073997 | Blood immunoglobulin E increased | |
| 110739978 | 11073997 | Body temperature increased | |
| 110739978 | 11073997 | Feeling abnormal | |
| 110739978 | 11073997 | Heart rate irregular | |
| 110739978 | 11073997 | Lung hyperinflation | |
| 110739978 | 11073997 | Myocardial infarction | |
| 110739978 | 11073997 | Obstructive airways disorder | |
| 110739978 | 11073997 | Pericarditis | |
| 110739978 | 11073997 | Product use issue |
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 |
|---|---|---|---|---|---|---|
| 110739978 | 11073997 | 1 | 20150218 | 20150326 | 0 | |
| 110739978 | 11073997 | 2 | 20151210 | 20160825 | 0 | |
| 110739978 | 11073997 | 3 | 201501 | 0 | ||
| 110739978 | 11073997 | 4 | 201509 | 0 |