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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119122634 | 11912263 | 4 | F | 20130814 | 20160719 | 20160113 | 20160722 | EXP | CA-ROCHE-1692998 | ROCHE | 38.78 | YR | F | Y | 0.00000 | 20160722 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119122634 | 11912263 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | 300 MG, EVERY 4 WEEKS | U | S0065E,S0001E | 103976 | 300 | MG | SOLUTION FOR INJECTION | |||||
| 119122634 | 11912263 | 2 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | UNK | U | S0065E,S0001E | 103976 | SOLUTION FOR INJECTION | |||||||
| 119122634 | 11912263 | 3 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | UNK | U | S0065E,S0001E | 103976 | SOLUTION FOR INJECTION | |||||||
| 119122634 | 11912263 | 4 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | UNK | U | S0065E,S0001E | 103976 | SOLUTION FOR INJECTION | |||||||
| 119122634 | 11912263 | 5 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Unknown | 200 OT | 0 | BID | |||||||||
| 119122634 | 11912263 | 6 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Unknown | 300 OT | 0 | BID | |||||||||
| 119122634 | 11912263 | 7 | C | VENTOLIN | ALBUTEROL SULFATE | 1 | Unknown | VENTOLIN/00942701 | 0 | ||||||||||
| 119122634 | 11912263 | 8 | C | AVAMYS | FLUTICASONE FUROATE | 1 | Unknown | 0 | |||||||||||
| 119122634 | 11912263 | 9 | C | REACTINE (CETIRIZINE HYDROCHLORIDE) | CETIRIZINE HYDROCHLORIDE | 1 | Unknown | 0 | |||||||||||
| 119122634 | 11912263 | 10 | C | SINGULAIR | MONTELUKAST SODIUM | 1 | Unknown | 0 | |||||||||||
| 119122634 | 11912263 | 11 | C | PREDNISONE. | PREDNISONE | 1 | Unknown | U | 0 | 7.5 | MG | BID | |||||||
| 119122634 | 11912263 | 12 | C | PREDNISONE. | PREDNISONE | 1 | Unknown | U | 0 | 5 | MG | BID | |||||||
| 119122634 | 11912263 | 13 | C | BRICANYL | TERBUTALINE SULFATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 119122634 | 11912263 | 1 | Asthma |
| 119122634 | 11912263 | 5 | Product used for unknown indication |
| 119122634 | 11912263 | 7 | Product used for unknown indication |
| 119122634 | 11912263 | 8 | Product used for unknown indication |
| 119122634 | 11912263 | 9 | Product used for unknown indication |
| 119122634 | 11912263 | 10 | Product used for unknown indication |
| 119122634 | 11912263 | 11 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 119122634 | 11912263 | OT |
| 119122634 | 11912263 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 119122634 | 11912263 | Anaemia | |
| 119122634 | 11912263 | Asthenia | |
| 119122634 | 11912263 | Asthma | |
| 119122634 | 11912263 | Chest pain | |
| 119122634 | 11912263 | Cough | |
| 119122634 | 11912263 | Fatigue | |
| 119122634 | 11912263 | Gastroenteritis | |
| 119122634 | 11912263 | Headache | |
| 119122634 | 11912263 | Malaise | |
| 119122634 | 11912263 | Oropharyngeal pain | |
| 119122634 | 11912263 | Pharyngitis streptococcal | |
| 119122634 | 11912263 | Respiratory tract infection | |
| 119122634 | 11912263 | Sinusitis | |
| 119122634 | 11912263 | Somnolence | |
| 119122634 | 11912263 | 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 |
|---|---|---|---|---|---|---|
| 119122634 | 11912263 | 1 | 20130814 | 0 | ||
| 119122634 | 11912263 | 2 | 20130913 | 0 | ||
| 119122634 | 11912263 | 3 | 20160407 | 0 | ||
| 119122634 | 11912263 | 4 | 20160607 | 0 | ||
| 119122634 | 11912263 | 7 | 20150707 | 0 |