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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120831552 | 12083155 | 2 | F | 20151031 | 20160811 | 20160217 | 20160819 | PER | US-ASTRAZENECA-2016SE13627 | ASTRAZENECA | 19904.00 | DY | M | Y | 108.00000 | KG | 20160819 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120831552 | 12083155 | 1 | PS | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | 160/4.5 MCG 1-2 PUFFS DAILY | U | U | 21929 | ||||||||
| 120831552 | 12083155 | 2 | SS | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | 160/4.5 MCG 1-2 PUFFS DAILY | U | U | 21929 | ||||||||
| 120831552 | 12083155 | 3 | C | BENAZEPRIL | BENAZEPRIL HYDROCHLORIDE | 1 | Oral | 0 | 80 | MG | QD | ||||||||
| 120831552 | 12083155 | 4 | C | AMOXIK-CLAV | 2 | Oral | 1 TABLET TWICE A DAY | 0 | TABLET | ||||||||||
| 120831552 | 12083155 | 5 | C | ASPERIN | 2 | Oral | 0 | 81 | MG | QD | |||||||||
| 120831552 | 12083155 | 6 | C | MULTIPLE VITAMIN | VITAMINS | 1 | Oral | 1 DAILY | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 120831552 | 12083155 | 1 | Asthma |
| 120831552 | 12083155 | 2 | Chronic obstructive pulmonary disease |
| 120831552 | 12083155 | 3 | Hypertension |
| 120831552 | 12083155 | 4 | Bronchitis |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 120831552 | 12083155 | Bronchitis | |
| 120831552 | 12083155 | Drug dose omission | |
| 120831552 | 12083155 | Dyspnoea | |
| 120831552 | 12083155 | 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 |
|---|---|---|---|---|---|---|
| 120831552 | 12083155 | 4 | 20160203 | 0 |