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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 110892978 | 11089297 | 8 | F | 20141201 | 20160922 | 20150505 | 20160930 | EXP | CA-ROCHE-1506537 | ROCHE | 66.34 | YR | M | Y | 0.00000 | 20160930 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 110892978 | 11089297 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | 103976 | 225 | MG | SOLUTION FOR INJECTION | QOW | ||||||
| 110892978 | 11089297 | 2 | C | LOSARTAN. | LOSARTAN | 1 | Unknown | U | 0 | ||||||||||
| 110892978 | 11089297 | 3 | C | HYDROCHLOROTHIAZIDE. | HYDROCHLOROTHIAZIDE | 1 | Unknown | U | 0 | ||||||||||
| 110892978 | 11089297 | 4 | C | ZENHALE | FORMOTEROL FUMARATEMOMETASONE FUROATE | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 110892978 | 11089297 | 1 | Asthma |
| 110892978 | 11089297 | 2 | Product used for unknown indication |
| 110892978 | 11089297 | 3 | Product used for unknown indication |
| 110892978 | 11089297 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 110892978 | 11089297 | OT |
| 110892978 | 11089297 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 110892978 | 11089297 | Anxiety | |
| 110892978 | 11089297 | Asthma | |
| 110892978 | 11089297 | Bronchitis | |
| 110892978 | 11089297 | Confusional state | |
| 110892978 | 11089297 | Frustration tolerance decreased | |
| 110892978 | 11089297 | Gastric infection | |
| 110892978 | 11089297 | Intestinal perforation | |
| 110892978 | 11089297 | Middle insomnia | |
| 110892978 | 11089297 | Nasopharyngitis | |
| 110892978 | 11089297 | Nosocomial infection | |
| 110892978 | 11089297 | Obstructive airways disorder | |
| 110892978 | 11089297 | Sensitivity to weather change | |
| 110892978 | 11089297 | Therapeutic response decreased | |
| 110892978 | 11089297 | Total lung capacity decreased |
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 |
|---|---|---|---|---|---|---|
| 110892978 | 11089297 | 1 | 20141126 | 201504 | 0 |