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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 115952942 | 11595294 | 2 | F | 2013 | 20160720 | 20151006 | 20160726 | EXP | CA-ROCHE-1641632 | ROCHE | 49.14 | YR | M | Y | 0.00000 | 20160726 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 115952942 | 11595294 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | 103976 | 300 | MG | SOLUTION FOR INJECTION | ||||||||
| 115952942 | 11595294 | 2 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | 103976 | 300 | MG | SOLUTION FOR INJECTION | ||||||||
| 115952942 | 11595294 | 3 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | 0 | ||||||||||||
| 115952942 | 11595294 | 4 | C | NASONEX | MOMETASONE FUROATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 115952942 | 11595294 | 1 | Asthma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 115952942 | 11595294 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 115952942 | 11595294 | Drug ineffective | |
| 115952942 | 11595294 | Sinusitis | |
| 115952942 | 11595294 | Weight decreased | |
| 115952942 | 11595294 | Weight increased |
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 |
|---|---|---|---|---|---|---|
| 115952942 | 11595294 | 1 | 20111222 | 0 | ||
| 115952942 | 11595294 | 2 | 20160630 | 20160630 | 0 |