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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 113796174 | 11379617 | 4 | F | 20131029 | 20160907 | 20150814 | 20160916 | EXP | CA-ROCHE-1620325 | ROCHE | 61.70 | YR | F | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 113796174 | 11379617 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | 103976 | 300 | MG | SOLUTION FOR INJECTION | |||||||
| 113796174 | 11379617 | 2 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Unknown | U | 0 | ||||||||||
| 113796174 | 11379617 | 3 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Unknown | U | 0 | ||||||||||
| 113796174 | 11379617 | 4 | C | CODEINE | CODEINE | 1 | Unknown | U | 0 | ||||||||||
| 113796174 | 11379617 | 5 | C | VENTOLIN | ALBUTEROL SULFATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 113796174 | 11379617 | 1 | Asthma |
| 113796174 | 11379617 | 2 | Product used for unknown indication |
| 113796174 | 11379617 | 3 | Product used for unknown indication |
| 113796174 | 11379617 | 4 | Fibromyalgia |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 113796174 | 11379617 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 113796174 | 11379617 | Anxiety | |
| 113796174 | 11379617 | Arthralgia | |
| 113796174 | 11379617 | Asthma | |
| 113796174 | 11379617 | Bronchitis | |
| 113796174 | 11379617 | Drug dependence | |
| 113796174 | 11379617 | Forced expiratory volume decreased | |
| 113796174 | 11379617 | Insomnia | |
| 113796174 | 11379617 | Joint swelling | |
| 113796174 | 11379617 | Lung infection | |
| 113796174 | 11379617 | Middle insomnia | |
| 113796174 | 11379617 | Pain in extremity | |
| 113796174 | 11379617 | Pharyngitis | |
| 113796174 | 11379617 | Productive cough | |
| 113796174 | 11379617 | Sleep disorder |
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 |
|---|---|---|---|---|---|---|
| 113796174 | 11379617 | 1 | 20131029 | 0 |