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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 114929163 | 11492916 | 3 | F | 20131121 | 20160908 | 20150911 | 20160919 | EXP | CA-ROCHE-1632633 | ROCHE | 51.07 | YR | F | Y | 0.00000 | 20160919 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 114929163 | 11492916 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | 103976 | 225 | MG | SOLUTION FOR INJECTION | QOW | ||||||
| 114929163 | 11492916 | 2 | C | PREDNISONE. | PREDNISONE | 1 | 0 | ||||||||||||
| 114929163 | 11492916 | 3 | C | PANTOLOC | PANTOPRAZOLE SODIUM | 1 | 0 | ||||||||||||
| 114929163 | 11492916 | 4 | C | VENTOLIN | ALBUTEROL SULFATE | 1 | 0 | ||||||||||||
| 114929163 | 11492916 | 5 | C | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | 0 | ||||||||||||
| 114929163 | 11492916 | 6 | C | FLOVENT | FLUTICASONE PROPIONATE | 1 | 0 | ||||||||||||
| 114929163 | 11492916 | 7 | C | NASONEX | MOMETASONE FUROATE | 1 | 0 | ||||||||||||
| 114929163 | 11492916 | 8 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | 0 | ||||||||||||
| 114929163 | 11492916 | 9 | C | UNIPHYL | THEOPHYLLINE ANHYDROUS | 1 | 0 | ||||||||||||
| 114929163 | 11492916 | 10 | C | RHINOCORT AQUA | BUDESONIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 114929163 | 11492916 | 1 | Asthma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 114929163 | 11492916 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 114929163 | 11492916 | Allergic cough | |
| 114929163 | 11492916 | Anaphylactic shock | |
| 114929163 | 11492916 | Arthralgia | |
| 114929163 | 11492916 | Asthenia | |
| 114929163 | 11492916 | Asthma | |
| 114929163 | 11492916 | Constipation | |
| 114929163 | 11492916 | Diarrhoea | |
| 114929163 | 11492916 | Dizziness | |
| 114929163 | 11492916 | Fatigue | |
| 114929163 | 11492916 | Gait disturbance | |
| 114929163 | 11492916 | Headache | |
| 114929163 | 11492916 | Hypersensitivity | |
| 114929163 | 11492916 | Mood swings | |
| 114929163 | 11492916 | Peripheral swelling | |
| 114929163 | 11492916 | Sensitivity to weather change |
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 |
|---|---|---|---|---|---|---|
| 114929163 | 11492916 | 1 | 20131120 | 0 |