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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 116036733 | 11603673 | 3 | F | 20160831 | 20151007 | 20160920 | PER | US-ASTRAZENECA-2015SE93420 | ASTRAZENECA | 0.00 | F | Y | 54.40000 | KG | 20160920 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 116036733 | 11603673 | 1 | PS | EKLIRA | ACLIDINIUM BROMIDE | 1 | Respiratory (inhalation) | U | U | 08142015,1145539 | 202450 | 400 | UG | INHALATION POWDER | QD | ||||
| 116036733 | 11603673 | 2 | SS | PRILOSEC | OMEPRAZOLE MAGNESIUM | 1 | Oral | 0 | |||||||||||
| 116036733 | 11603673 | 3 | C | VITAMIN D | CHOLECALCIFEROL | 1 | Oral | 0 | |||||||||||
| 116036733 | 11603673 | 4 | C | MULTIVITAMIN | VITAMINS | 1 | Oral | 0 | |||||||||||
| 116036733 | 11603673 | 5 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | 0 | ||||||||||||
| 116036733 | 11603673 | 6 | C | UNSPECIFIED MEDICATION | UNSPECIFIED INGREDIENT | 1 | 0 | ||||||||||||
| 116036733 | 11603673 | 7 | C | UNSPECIFIED MEDICATION | UNSPECIFIED INGREDIENT | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 116036733 | 11603673 | 1 | Chronic obstructive pulmonary disease |
| 116036733 | 11603673 | 6 | Anxiety |
| 116036733 | 11603673 | 7 | Gastrooesophageal reflux disease |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 116036733 | 11603673 | Activities of daily living impaired | |
| 116036733 | 11603673 | Cough | |
| 116036733 | 11603673 | Device issue | |
| 116036733 | 11603673 | Drug dose omission | |
| 116036733 | 11603673 | Drug ineffective | |
| 116036733 | 11603673 | Intentional product misuse | |
| 116036733 | 11603673 | Product quality issue | |
| 116036733 | 11603673 | Productive cough |
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 |
|---|---|---|---|---|---|---|
| 116036733 | 11603673 | 1 | 2015 | 0 |