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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 113614774 | 11361477 | 4 | F | 201504 | 20160921 | 20150810 | 20160923 | EXP | US-GLAXOSMITHKLINE-US2015GSK111141 | GLAXOSMITHKLINE | 50.24 | YR | F | Y | 0.00000 | 20160923 | CN | US | US |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 113614774 | 11361477 | 1 | PS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | UNK | U | UNKNOWN | 20983 | |||||||||
| 113614774 | 11361477 | 2 | SS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | U | 20983 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 113614774 | 11361477 | 1 | Asthma |
| 113614774 | 11361477 | 2 | Chronic obstructive pulmonary disease |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 113614774 | 11361477 | OT |
| 113614774 | 11361477 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 113614774 | 11361477 | Cardiac failure congestive | |
| 113614774 | 11361477 | Chronic obstructive pulmonary disease | |
| 113614774 | 11361477 | Extra dose administered | |
| 113614774 | 11361477 | Hospitalisation | |
| 113614774 | 11361477 | Malaise | |
| 113614774 | 11361477 | Myocardial infarction |
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 |
|---|---|---|---|---|---|---|
| 113614774 | 11361477 | 1 | 1995 | 0 |