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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1187147610 | 11871476 | 10 | F | 20150305 | 20160811 | 20151228 | 20160823 | EXP | JP-PFIZER INC-2015471463 | PFIZER | 65.00 | YR | F | Y | 61.00000 | KG | 20160823 | MD | JP | JP |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1187147610 | 11871476 | 1 | PS | SIROLIMUS. | SIROLIMUS | 1 | Oral | 1 MG, 1X/DAY (1 D) | 216 | MG | Y | 21110 | 1 | MG | QD | ||||
| 1187147610 | 11871476 | 2 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Respiratory (inhalation) | 5 UG, 1X/DAY (1 D) | 0 | 5 | UG | QD | |||||||
| 1187147610 | 11871476 | 3 | C | ONBREZ | INDACATEROL | 1 | Unknown | 150 UG, 1X/DAY (1 D) | 0 | 150 | UG | QD | |||||||
| 1187147610 | 11871476 | 4 | C | UNIPHYLLA | THEOPHYLLINE ANHYDROUS | 1 | Oral | 200 MG, 1X/DAY (1 D) | 0 | 200 | MG | QD | |||||||
| 1187147610 | 11871476 | 5 | C | VITANEURIN /02072701/ | 2 | Oral | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 1187147610 | 11871476 | 1 | Lymphangioma |
| 1187147610 | 11871476 | 2 | Lymphangioleiomyomatosis |
| 1187147610 | 11871476 | 5 | Prophylaxis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 1187147610 | 11871476 | HO |
| 1187147610 | 11871476 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 1187147610 | 11871476 | Anti-neutrophil cytoplasmic antibody positive vasculitis | |
| 1187147610 | 11871476 | Pleural effusion | |
| 1187147610 | 11871476 | Pneumonia | |
| 1187147610 | 11871476 | Stomatitis |
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 |
|---|---|---|---|---|---|---|
| 1187147610 | 11871476 | 1 | 20150305 | 20151006 | 0 | |
| 1187147610 | 11871476 | 2 | 20150622 | 0 | ||
| 1187147610 | 11871476 | 4 | 20151207 | 0 | ||
| 1187147610 | 11871476 | 5 | 20150205 | 20150810 | 0 |