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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 112950264 | 11295026 | 4 | F | 20130505 | 20160808 | 20150723 | 20160812 | EXP | DE-ROCHE-1581435 | ROCHE | 56.00 | YR | F | Y | 78.00000 | KG | 20160812 | MD | DE | DE |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 112950264 | 11295026 | 1 | PS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 103976 | 450 | MG | SOLUTION FOR INJECTION | ||||||||
| 112950264 | 11295026 | 2 | SS | FORMOTEROL | FORMOTEROL | 1 | Respiratory (inhalation) | 0 | 24 | UG | |||||||||
| 112950264 | 11295026 | 3 | C | VENTILASTIN | ALBUTEROL SULFATE | 1 | Unknown | 0 | |||||||||||
| 112950264 | 11295026 | 4 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | 320/9 OT | 0 | ||||||||||
| 112950264 | 11295026 | 5 | C | ALVESCO | CICLESONIDE | 1 | Unknown | 0 | |||||||||||
| 112950264 | 11295026 | 6 | C | PANTOZOL | PANTOPRAZOLE SODIUM | 1 | Unknown | 0 | |||||||||||
| 112950264 | 11295026 | 7 | C | IBUHEXAL | IBUPROFEN | 1 | Unknown | 0 | |||||||||||
| 112950264 | 11295026 | 8 | C | AMLODIPINE | AMLODIPINE BESYLATE | 1 | Unknown | 0 | |||||||||||
| 112950264 | 11295026 | 9 | C | DECORTIN | PREDNISONE | 1 | Unknown | 0 | |||||||||||
| 112950264 | 11295026 | 10 | C | SINGULAIR | MONTELUKAST SODIUM | 1 | Unknown | 0 | |||||||||||
| 112950264 | 11295026 | 11 | C | LORATADINE. | LORATADINE | 1 | Unknown | 0 | |||||||||||
| 112950264 | 11295026 | 12 | C | FELODIPINE. | FELODIPINE | 1 | Unknown | 0 | |||||||||||
| 112950264 | 11295026 | 13 | C | VALSARTAN. | VALSARTAN | 1 | Unknown | 0 | |||||||||||
| 112950264 | 11295026 | 14 | C | GABRILEN | 2 | Unknown | 0 | ||||||||||||
| 112950264 | 11295026 | 15 | C | DOXYCYCLINE. | DOXYCYCLINE | 1 | Unknown | 0 | 100 | MG | |||||||||
| 112950264 | 11295026 | 16 | C | DOXYCYCLINE. | DOXYCYCLINE | 1 | Unknown | 0 | 100 | MG | |||||||||
| 112950264 | 11295026 | 17 | C | DEXAMETHASONE. | DEXAMETHASONE | 1 | Unknown | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 112950264 | 11295026 | 1 | Asthma |
| 112950264 | 11295026 | 2 | Asthma |
| 112950264 | 11295026 | 4 | Asthma |
| 112950264 | 11295026 | 5 | Asthma |
| 112950264 | 11295026 | 6 | Asthma |
| 112950264 | 11295026 | 7 | Asthma |
| 112950264 | 11295026 | 8 | Asthma |
| 112950264 | 11295026 | 9 | Asthma |
| 112950264 | 11295026 | 10 | Asthma |
| 112950264 | 11295026 | 11 | Asthma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 112950264 | 11295026 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 112950264 | 11295026 | Asthma | |
| 112950264 | 11295026 | Hypertension |
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 |
|---|---|---|---|---|---|---|
| 112950264 | 11295026 | 1 | 20130121 | 0 | ||
| 112950264 | 11295026 | 2 | 20130501 | 0 | ||
| 112950264 | 11295026 | 3 | 20030310 | 0 | ||
| 112950264 | 11295026 | 4 | 20130809 | 0 | ||
| 112950264 | 11295026 | 5 | 20130501 | 0 | ||
| 112950264 | 11295026 | 6 | 20130501 | 0 | ||
| 112950264 | 11295026 | 7 | 20130501 | 0 | ||
| 112950264 | 11295026 | 8 | 20130507 | 20130625 | 0 | |
| 112950264 | 11295026 | 9 | 20130513 | 20130612 | 0 | |
| 112950264 | 11295026 | 10 | 20100307 | 0 | ||
| 112950264 | 11295026 | 11 | 20130203 | 0 | ||
| 112950264 | 11295026 | 12 | 20130706 | 0 | ||
| 112950264 | 11295026 | 13 | 20130710 | 0 | ||
| 112950264 | 11295026 | 14 | 20141204 | 20141207 | 0 | |
| 112950264 | 11295026 | 15 | 20150216 | 0 | ||
| 112950264 | 11295026 | 16 | 20160727 | 20160805 | 0 | |
| 112950264 | 11295026 | 17 | 20141204 | 20141207 | 0 |