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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121191643 | 12119164 | 3 | F | 20160730 | 20160226 | 20160920 | PER | US-GLAXOSMITHKLINE-US2016025798 | GLAXOSMITHKLINE | 0.00 | M | Y | 0.00000 | 20160920 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121191643 | 12119164 | 1 | PS | VENTOLIN | ALBUTEROL SULFATE | 1 | UNK UNK, PRN | U | L96U | 20983 | |||||||||
| 121191643 | 12119164 | 2 | SS | ALBUTEROL. | ALBUTEROL | 1 | UNK UNK, U | U | UNKNOWN | 20983 | |||||||||
| 121191643 | 12119164 | 3 | SS | PROVENTIL | ALBUTEROL | 1 | UNK UNK, U | U | UNKNOWN | 20983 | |||||||||
| 121191643 | 12119164 | 4 | SS | PROAIR HFA | ALBUTEROL SULFATE | 1 | UNK UNK, U | U | UNKNOWN | 20983 | |||||||||
| 121191643 | 12119164 | 5 | SS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | 2 PUFF(S), PRN | U79P | 20983 | 2 | DF | |||||||
| 121191643 | 12119164 | 6 | SS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | UNK | 6ZP4574 | 20983 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121191643 | 12119164 | 1 | Product used for unknown indication |
| 121191643 | 12119164 | 2 | Product used for unknown indication |
| 121191643 | 12119164 | 3 | Product used for unknown indication |
| 121191643 | 12119164 | 4 | Product used for unknown indication |
| 121191643 | 12119164 | 5 | Asthma |
| 121191643 | 12119164 | 6 | Chronic obstructive pulmonary disease |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121191643 | 12119164 | Drug ineffective | |
| 121191643 | 12119164 | Dry mouth | |
| 121191643 | 12119164 | Dysphagia | |
| 121191643 | 12119164 | Product quality issue | |
| 121191643 | 12119164 | Sinus congestion |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |