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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119236113 | 11923611 | 3 | F | 20160106 | 20160725 | 20160118 | 20160809 | PER | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-00979BP | BOEHRINGER INGELHEIM | 49.50 | YR | F | Y | 56.70000 | KG | 20160809 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119236113 | 11923611 | 1 | PS | COMBIVENT | ALBUTEROL SULFATEIPRATROPIUM BROMIDE | 1 | Respiratory (inhalation) | 4 ANZ | 501785A | 21747 | PRESSURISED INHALATION | QID | |||||||
| 119236113 | 11923611 | 2 | C | ALLEGRA | FEXOFENADINE HYDROCHLORIDE | 1 | Unknown | 180 MG | 0 | 180 | MG | QD | |||||||
| 119236113 | 11923611 | 3 | C | FLUTICASONE PROPIONATE. | FLUTICASONE PROPIONATE | 1 | Unknown | STRENGTH: 50 MCG; DOSE PER APPLICATION: 1-2 SPRAYS/ NOSTRIL | 0 | ||||||||||
| 119236113 | 11923611 | 4 | C | MONTELUKAST | MONTELUKAST SODIUM | 1 | Unknown | 10 MG | 0 | 10 | MG | QD | |||||||
| 119236113 | 11923611 | 5 | C | MONTELUKAST | MONTELUKAST SODIUM | 1 | 0 | ||||||||||||
| 119236113 | 11923611 | 6 | C | MONTELUKAST | MONTELUKAST SODIUM | 1 | 0 | ||||||||||||
| 119236113 | 11923611 | 7 | C | QVAR | BECLOMETHASONE DIPROPIONATE | 1 | Unknown | STRENGTH: 80 MCG; DOSE PER APPLICATION/DAILY DOSE:1-2 PUFFS | 0 | QD | |||||||||
| 119236113 | 11923611 | 8 | C | QVAR | BECLOMETHASONE DIPROPIONATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 119236113 | 11923611 | 1 | Asthma |
| 119236113 | 11923611 | 2 | Rhinitis allergic |
| 119236113 | 11923611 | 3 | Rhinitis allergic |
| 119236113 | 11923611 | 4 | Cough |
| 119236113 | 11923611 | 5 | Asthma |
| 119236113 | 11923611 | 6 | Rhinitis allergic |
| 119236113 | 11923611 | 7 | Cough |
| 119236113 | 11923611 | 8 | Asthma |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 119236113 | 11923611 | Cough | |
| 119236113 | 11923611 | 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 |
|---|---|---|---|---|---|---|
| 119236113 | 11923611 | 1 | 20160106 | 0 | ||
| 119236113 | 11923611 | 4 | 20160114 | 20160216 | 0 | |
| 119236113 | 11923611 | 7 | 20160114 | 0 |