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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120610414 | 12061041 | 4 | F | 20160722 | 20160210 | 20160815 | PER | US-ASTRAZENECA-2016SE10819 | ASTRAZENECA | 0.00 | F | Y | 131.10000 | KG | 20160815 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120610414 | 12061041 | 1 | PS | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | 160/4.5 MCG 120 INHALATIONS, TWO PUFFS TWICE A DAY | 3001015C00,3001082C00 | 21929 | BID | ||||||||
| 120610414 | 12061041 | 2 | C | PROVENTIL | ALBUTEROL | 1 | Respiratory (inhalation) | 0 | |||||||||||
| 120610414 | 12061041 | 3 | C | ZANTAC | RANITIDINE HYDROCHLORIDE | 1 | Oral | 0 | 150 | MG | BID | ||||||||
| 120610414 | 12061041 | 4 | C | LASIX | FUROSEMIDE | 1 | Oral | 0 | 80 | MG | QD | ||||||||
| 120610414 | 12061041 | 5 | C | COUMADIN | WARFARIN SODIUM | 1 | Oral | 0 | 5 | MG | |||||||||
| 120610414 | 12061041 | 6 | C | COUMADIN | WARFARIN SODIUM | 1 | Oral | 0 | 2.5 | MG | /wk | ||||||||
| 120610414 | 12061041 | 7 | C | TYLENOL EXTRA STRENGTH | ACETAMINOPHEN | 1 | Oral | AS REQUIRED | 0 | ||||||||||
| 120610414 | 12061041 | 8 | C | VITAMIN B6 | PYRIDOXINE HYDROCHLORIDE | 1 | Oral | 0 | 100 | MG | QD | ||||||||
| 120610414 | 12061041 | 9 | C | PRODUCT UNKNOWN | 2 | Oral | 300.0MG UNKNOWN | 0 | 300 | MG | CAPSULE | ||||||||
| 120610414 | 12061041 | 10 | C | FUROSEMIDE. | FUROSEMIDE | 1 | 0 | 10 | MG | QD | |||||||||
| 120610414 | 12061041 | 11 | C | FUROSEMIDE. | FUROSEMIDE | 1 | 0 | 20 | MG | QD | |||||||||
| 120610414 | 12061041 | 12 | C | FUROSEMIDE. | FUROSEMIDE | 1 | 0 | 40 | MG | QD | |||||||||
| 120610414 | 12061041 | 13 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | Oral | 0 | 500 | MG | QD | ||||||||
| 120610414 | 12061041 | 14 | C | POTASSIUM | POTASSIUM | 1 | Oral | 0 | 20 | MG | QD | ||||||||
| 120610414 | 12061041 | 15 | C | VITAMIN D | CHOLECALCIFEROL | 1 | Oral | 0 | 600 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 120610414 | 12061041 | 1 | Asthma |
| 120610414 | 12061041 | 2 | Ill-defined disorder |
| 120610414 | 12061041 | 3 | Gastrooesophageal reflux disease |
| 120610414 | 12061041 | 4 | Fluid retention |
| 120610414 | 12061041 | 5 | Anticoagulant therapy |
| 120610414 | 12061041 | 6 | Anticoagulant therapy |
| 120610414 | 12061041 | 9 | Gastrooesophageal reflux disease |
| 120610414 | 12061041 | 10 | Oedema peripheral |
| 120610414 | 12061041 | 11 | Oedema peripheral |
| 120610414 | 12061041 | 12 | Oedema peripheral |
| 120610414 | 12061041 | 14 | Blood potassium abnormal |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 120610414 | 12061041 | Circumstance or information capable of leading to medication error | |
| 120610414 | 12061041 | Device malfunction | |
| 120610414 | 12061041 | Dyspnoea | |
| 120610414 | 12061041 | Foaming at mouth | |
| 120610414 | 12061041 | Off label use | |
| 120610414 | 12061041 | Oral discomfort | |
| 120610414 | 12061041 | Oropharyngeal pain | |
| 120610414 | 12061041 | Peripheral swelling | |
| 120610414 | 12061041 | Product taste abnormal | |
| 120610414 | 12061041 | Retching | |
| 120610414 | 12061041 | Sputum discoloured |
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 |
|---|---|---|---|---|---|---|
| 120610414 | 12061041 | 1 | 201509 | 0 | ||
| 120610414 | 12061041 | 3 | 2005 | 0 | ||
| 120610414 | 12061041 | 5 | 2004 | 0 | ||
| 120610414 | 12061041 | 6 | 2004 | 0 | ||
| 120610414 | 12061041 | 8 | 2006 | 0 | ||
| 120610414 | 12061041 | 9 | 2005 | 0 | ||
| 120610414 | 12061041 | 11 | 2010 | 0 | ||
| 120610414 | 12061041 | 12 | 2015 | 0 | ||
| 120610414 | 12061041 | 13 | 2006 | 0 | ||
| 120610414 | 12061041 | 14 | 2016 | 0 | ||
| 120610414 | 12061041 | 15 | 2005 | 0 |