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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 111271979 | 11127197 | 9 | F | 20150327 | 20160824 | 20150521 | 20160831 | EXP | CA-ROCHE-1581326 | ROCHE | 53.02 | YR | F | Y | 0.00000 | 20160831 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 111271979 | 11127197 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | S0066B,S0001E,S0002F,S0003B | 103976 | 150 | MG | SOLUTION FOR INJECTION | |||||||
| 111271979 | 11127197 | 2 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | S0066B,S0001E,S0002F,S0003B | 103976 | SOLUTION FOR INJECTION | |||||||||
| 111271979 | 11127197 | 3 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | S0066B,S0001E,S0002F,S0003B | 103976 | SOLUTION FOR INJECTION | |||||||||
| 111271979 | 11127197 | 4 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | S0066B,S0001E,S0002F,S0003B | 103976 | SOLUTION FOR INJECTION | |||||||||
| 111271979 | 11127197 | 5 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | S0066B,S0001E,S0002F,S0003B | 103976 | SOLUTION FOR INJECTION | |||||||||
| 111271979 | 11127197 | 6 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | S0066B,S0001E,S0002F,S0003B | 103976 | SOLUTION FOR INJECTION | |||||||||
| 111271979 | 11127197 | 7 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | S0066B,S0001E,S0002F,S0003B | 103976 | SOLUTION FOR INJECTION | |||||||||
| 111271979 | 11127197 | 8 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | S0066B,S0001E,S0002F,S0003B | 103976 | SOLUTION FOR INJECTION | |||||||||
| 111271979 | 11127197 | 9 | C | VENTOLINE | ALBUTEROL | 1 | Unknown | U | 0 | ||||||||||
| 111271979 | 11127197 | 10 | C | SINGULAIR | MONTELUKAST SODIUM | 1 | Unknown | U | 0 | ||||||||||
| 111271979 | 11127197 | 11 | C | NASACORT | TRIAMCINOLONE ACETONIDE | 1 | Unknown | U | 0 | ||||||||||
| 111271979 | 11127197 | 12 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Unknown | U | 0 | ||||||||||
| 111271979 | 11127197 | 13 | C | PULMICORT TURBUHALER | BUDESONIDE | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 111271979 | 11127197 | 1 | Asthma |
| 111271979 | 11127197 | 9 | Product used for unknown indication |
| 111271979 | 11127197 | 10 | Product used for unknown indication |
| 111271979 | 11127197 | 11 | Product used for unknown indication |
| 111271979 | 11127197 | 12 | Product used for unknown indication |
| 111271979 | 11127197 | 13 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 111271979 | 11127197 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 111271979 | 11127197 | Abasia | |
| 111271979 | 11127197 | Aphasia | |
| 111271979 | 11127197 | Blood pressure systolic increased | |
| 111271979 | 11127197 | Cough | |
| 111271979 | 11127197 | Fatigue | |
| 111271979 | 11127197 | Food allergy | |
| 111271979 | 11127197 | Gastrointestinal disorder | |
| 111271979 | 11127197 | Headache | |
| 111271979 | 11127197 | Heart rate increased | |
| 111271979 | 11127197 | Intestinal polyp | |
| 111271979 | 11127197 | Malaise | |
| 111271979 | 11127197 | Nasopharyngitis | |
| 111271979 | 11127197 | Pain | |
| 111271979 | 11127197 | Pneumonia | |
| 111271979 | 11127197 | Throat irritation | |
| 111271979 | 11127197 | 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 |
|---|---|---|---|---|---|---|
| 111271979 | 11127197 | 1 | 20111216 | 0 | ||
| 111271979 | 11127197 | 2 | 20151118 | 0 | ||
| 111271979 | 11127197 | 3 | 20160113 | 0 | ||
| 111271979 | 11127197 | 4 | 20160504 | 0 | ||
| 111271979 | 11127197 | 5 | 20160601 | 0 | ||
| 111271979 | 11127197 | 6 | 20160629 | 0 | ||
| 111271979 | 11127197 | 7 | 20160727 | 0 | ||
| 111271979 | 11127197 | 8 | 20160824 | 0 |