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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 114032573 | 11403257 | 3 | F | 20120726 | 20160816 | 20150821 | 20160824 | EXP | CA-ROCHE-1623324 | ROCHE | 54.86 | YR | F | Y | 0.00000 | 20160824 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 114032573 | 11403257 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | 103976 | 150 | MG | SOLUTION FOR INJECTION | |||||||
| 114032573 | 11403257 | 2 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | 0 | ||||||||||||
| 114032573 | 11403257 | 3 | C | PULMICORT TURBUHALER | BUDESONIDE | 1 | 0 | ||||||||||||
| 114032573 | 11403257 | 4 | C | NASOCORT | BUDESONIDE | 1 | 0 | ||||||||||||
| 114032573 | 11403257 | 5 | C | VENTOLIN | ALBUTEROL SULFATE | 1 | Unknown | COUPLE OF TIMES A DAY BUT OTHER DAYS MORE FREQUENTLY, QD | 0 | QD | |||||||||
| 114032573 | 11403257 | 6 | C | VENTOLIN | ALBUTEROL SULFATE | 1 | Unknown | 3 TIMES PER DAY | 0 | TID | |||||||||
| 114032573 | 11403257 | 7 | C | PREDNISONE. | PREDNISONE | 1 | Unknown | 0 | 25 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 114032573 | 11403257 | 1 | Asthma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 114032573 | 11403257 | OT |
| 114032573 | 11403257 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 114032573 | 11403257 | Asthenia | |
| 114032573 | 11403257 | Asthma | |
| 114032573 | 11403257 | Decreased activity | |
| 114032573 | 11403257 | Dyspnoea | |
| 114032573 | 11403257 | Dyspnoea exertional | |
| 114032573 | 11403257 | Fatigue | |
| 114032573 | 11403257 | Lower respiratory tract infection | |
| 114032573 | 11403257 | Pulmonary mass |
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 |
|---|---|---|---|---|---|---|
| 114032573 | 11403257 | 1 | 20120726 | 0 |