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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 115121224 | 11512122 | 4 | F | 20160501 | 20160811 | 20150916 | 20160823 | PER | US-ASTRAZENECA-2013SE69272 | ASTRAZENECA | 27556.00 | DY | M | Y | 80.70000 | KG | 20160823 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 115121224 | 11512122 | 1 | PS | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | 160/4.5 MCG TWO PUFFS TWO TIMES A DAY | 21929 | ||||||||||
| 115121224 | 11512122 | 2 | SS | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | 80/4.5,UNKNOWN | 21929 | ||||||||||
| 115121224 | 11512122 | 3 | SS | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | 160/4.5 MCG,UNKNOWN | 21929 | ||||||||||
| 115121224 | 11512122 | 4 | SS | TUDORZA PRESSAIR | ACLIDINIUM BROMIDE | 1 | Respiratory (inhalation) | ONE INHALATION TWICE PER DAY | 0 | INHALATION POWDER | |||||||||
| 115121224 | 11512122 | 5 | SS | LISINOPRIL/HCTZ | HYDROCHLOROTHIAZIDELISINOPRIL | 1 | Oral | 0 | 1 | DF | TABLET | QD | |||||||
| 115121224 | 11512122 | 6 | SS | DALIRESP | ROFLUMILAST | 1 | Oral | Y | 0 | 1 | DF | TABLET | QOD | ||||||
| 115121224 | 11512122 | 7 | SS | DALIRESP | ROFLUMILAST | 1 | Oral | Y | 0 | .5 | DF | TABLET | QD | ||||||
| 115121224 | 11512122 | 8 | SS | DALIRESP | ROFLUMILAST | 1 | Oral | ONE HALF OF A PILL EVERY OTHER DAY FOR 2 WEEKS | Y | 0 | TABLET | ||||||||
| 115121224 | 11512122 | 9 | SS | DALIRESP | ROFLUMILAST | 1 | Oral | Y | 0 | 1 | DF | TABLET | QD | ||||||
| 115121224 | 11512122 | 10 | C | ATORVASTATIN | ATORVASTATIN | 1 | 0 | 40 | MG | QD | |||||||||
| 115121224 | 11512122 | 11 | C | NOVOLOG | INSULIN ASPART | 1 | THREE TIMES A DAY | 0 | |||||||||||
| 115121224 | 11512122 | 12 | C | LEVEMIR | INSULIN DETEMIR | 1 | ONCE DAILY | 0 | |||||||||||
| 115121224 | 11512122 | 13 | C | CARDIO | 2 | 0 | 240 | MG | QD | ||||||||||
| 115121224 | 11512122 | 14 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | 0 | ||||||||||||
| 115121224 | 11512122 | 15 | C | LANTIS INSULIN | 2 | Subcutaneous | 48 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 115121224 | 11512122 | 1 | Chronic obstructive pulmonary disease |
| 115121224 | 11512122 | 2 | Chronic obstructive pulmonary disease |
| 115121224 | 11512122 | 3 | Chronic obstructive pulmonary disease |
| 115121224 | 11512122 | 4 | Chronic obstructive pulmonary disease |
| 115121224 | 11512122 | 6 | Chronic obstructive pulmonary disease |
| 115121224 | 11512122 | 7 | Chronic obstructive pulmonary disease |
| 115121224 | 11512122 | 8 | Chronic obstructive pulmonary disease |
| 115121224 | 11512122 | 9 | Chronic obstructive pulmonary disease |
| 115121224 | 11512122 | 10 | Blood cholesterol abnormal |
| 115121224 | 11512122 | 11 | Diabetes mellitus |
| 115121224 | 11512122 | 12 | Diabetes mellitus |
| 115121224 | 11512122 | 15 | Type 2 diabetes mellitus |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 115121224 | 11512122 | Abdominal discomfort | |
| 115121224 | 11512122 | Circumstance or information capable of leading to medication error | |
| 115121224 | 11512122 | Contusion | |
| 115121224 | 11512122 | Dysgeusia | |
| 115121224 | 11512122 | Dyspnoea | |
| 115121224 | 11512122 | Nausea | |
| 115121224 | 11512122 | Off label use |
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 |
|---|---|---|---|---|---|---|
| 115121224 | 11512122 | 6 | 20160404 | 20160518 | 0 | |
| 115121224 | 11512122 | 9 | 201605 | 0 |