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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121177428 | 12117742 | 8 | F | 20091218 | 20160708 | 20160226 | 20160719 | EXP | CA-ROCHE-1716762 | ROCHE | 26.05 | YR | F | Y | 130.80000 | KG | 20160719 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121177428 | 12117742 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | 375 MG, BIW | S0058A,S0065E,S0066B | 103976 | 375 | MG | SOLUTION FOR INJECTION | QOW | |||||
| 121177428 | 12117742 | 2 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | UNK | S0058A,S0065E,S0066B | 103976 | 375 | MG | SOLUTION FOR INJECTION | QOW | |||||
| 121177428 | 12117742 | 3 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | UNK | S0058A,S0065E,S0066B | 103976 | 375 | MG | SOLUTION FOR INJECTION | QOW | |||||
| 121177428 | 12117742 | 4 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | UNK | S0058A,S0065E,S0066B | 103976 | 375 | MG | SOLUTION FOR INJECTION | QOW | |||||
| 121177428 | 12117742 | 5 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | UNK | S0058A,S0065E,S0066B | 103976 | SOLUTION FOR INJECTION | ||||||||
| 121177428 | 12117742 | 6 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | UNK | S0058A,S0065E,S0066B | 103976 | SOLUTION FOR INJECTION | ||||||||
| 121177428 | 12117742 | 7 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | UNK | S0058A,S0065E,S0066B | 103976 | SOLUTION FOR INJECTION | ||||||||
| 121177428 | 12117742 | 8 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | UNK | S0058A,S0065E,S0066B | 103976 | SOLUTION FOR INJECTION | ||||||||
| 121177428 | 12117742 | 9 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | UNK | S0058A,S0065E,S0066B | 103976 | SOLUTION FOR INJECTION | ||||||||
| 121177428 | 12117742 | 10 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | UNK | S0058A,S0065E,S0066B | 103976 | SOLUTION FOR INJECTION | ||||||||
| 121177428 | 12117742 | 11 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | UNK | S0058A,S0065E,S0066B | 103976 | SOLUTION FOR INJECTION | ||||||||
| 121177428 | 12117742 | 12 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | S0058A,S0065E,S0066B | 103976 | 375 | MG | SOLUTION FOR INJECTION | QOW | ||||||
| 121177428 | 12117742 | 13 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | S0058A,S0065E,S0066B | 103976 | 375 | MG | SOLUTION FOR INJECTION | QOW | ||||||
| 121177428 | 12117742 | 14 | SS | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Unknown | U | 0 | ||||||||||
| 121177428 | 12117742 | 15 | C | VENTOLINE | ALBUTEROL | 1 | Unknown | U | 0 | ||||||||||
| 121177428 | 12117742 | 16 | C | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Unknown | UNK, BID | U | 0 | BID | ||||||||
| 121177428 | 12117742 | 17 | C | FLOVENT | FLUTICASONE PROPIONATE | 1 | Unknown | 500 OT, BID | 0 | BID | |||||||||
| 121177428 | 12117742 | 18 | C | PREDNISONE. | PREDNISONE | 1 | Unknown | 7.5 MG, QD | U | 0 | 7.5 | MG | QD | ||||||
| 121177428 | 12117742 | 19 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Unknown | U | 0 | TABLET | |||||||||
| 121177428 | 12117742 | 20 | C | LANTUS | INSULIN GLARGINE | 1 | Unknown | U | 0 | ||||||||||
| 121177428 | 12117742 | 21 | C | ADVIL | IBUPROFEN | 1 | Unknown | PRN | U | 0 | |||||||||
| 121177428 | 12117742 | 22 | C | INSULIN | INSULIN NOS | 1 | Unknown | UNK | U | 0 | |||||||||
| 121177428 | 12117742 | 23 | C | REPAGLINIDE. | REPAGLINIDE | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121177428 | 12117742 | 1 | Asthma |
| 121177428 | 12117742 | 14 | Pruritus |
| 121177428 | 12117742 | 15 | Product used for unknown indication |
| 121177428 | 12117742 | 16 | Product used for unknown indication |
| 121177428 | 12117742 | 17 | Product used for unknown indication |
| 121177428 | 12117742 | 18 | Product used for unknown indication |
| 121177428 | 12117742 | 19 | Product used for unknown indication |
| 121177428 | 12117742 | 20 | Product used for unknown indication |
| 121177428 | 12117742 | 21 | Product used for unknown indication |
| 121177428 | 12117742 | 22 | Product used for unknown indication |
| 121177428 | 12117742 | 23 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 121177428 | 12117742 | OT |
| 121177428 | 12117742 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121177428 | 12117742 | Angina pectoris | |
| 121177428 | 12117742 | Arteriosclerosis | |
| 121177428 | 12117742 | Blood pressure increased | |
| 121177428 | 12117742 | Chest discomfort | |
| 121177428 | 12117742 | Chest pain | |
| 121177428 | 12117742 | Dyspnoea | |
| 121177428 | 12117742 | Fatigue | |
| 121177428 | 12117742 | Heart rate increased | |
| 121177428 | 12117742 | Hypercoagulation | |
| 121177428 | 12117742 | Lower respiratory tract infection | |
| 121177428 | 12117742 | Malaise | |
| 121177428 | 12117742 | Myocardial infarction | |
| 121177428 | 12117742 | Nasopharyngitis | |
| 121177428 | 12117742 | Oxygen saturation decreased | |
| 121177428 | 12117742 | Pain in extremity | |
| 121177428 | 12117742 | Productive cough | |
| 121177428 | 12117742 | Pruritus | |
| 121177428 | 12117742 | Rash | |
| 121177428 | 12117742 | Sputum discoloured | |
| 121177428 | 12117742 | Thrombosis | |
| 121177428 | 12117742 | Vomiting | |
| 121177428 | 12117742 | Wheezing |
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 |
|---|---|---|---|---|---|---|
| 121177428 | 12117742 | 1 | 20081110 | 0 | ||
| 121177428 | 12117742 | 2 | 20151109 | 0 | ||
| 121177428 | 12117742 | 3 | 20151209 | 0 | ||
| 121177428 | 12117742 | 4 | 20151222 | 0 | ||
| 121177428 | 12117742 | 5 | 20160107 | 0 | ||
| 121177428 | 12117742 | 6 | 20160121 | 0 | ||
| 121177428 | 12117742 | 7 | 20160218 | 0 | ||
| 121177428 | 12117742 | 8 | 20160419 | 0 | ||
| 121177428 | 12117742 | 9 | 20160602 | 0 | ||
| 121177428 | 12117742 | 10 | 20160519 | 0 | ||
| 121177428 | 12117742 | 11 | 20160616 | 0 | ||
| 121177428 | 12117742 | 12 | 2009 | 0 |