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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121255904 | 12125590 | 4 | F | 201410 | 20160705 | 20160229 | 20160712 | EXP | CA-ROCHE-1717659 | ROCHE | 41.34 | YR | F | Y | 0.00000 | 20160712 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121255904 | 12125590 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0060,S0060,S0062 | 103976 | 300 | MG | SOLUTION FOR INJECTION | ||||||
| 121255904 | 12125590 | 2 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0060,S0060,S0062 | 103976 | SOLUTION FOR INJECTION | ||||||||
| 121255904 | 12125590 | 3 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0060,S0060,S0062 | 103976 | SOLUTION FOR INJECTION | ||||||||
| 121255904 | 12125590 | 4 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0060,S0060,S0062 | 103976 | SOLUTION FOR INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121255904 | 12125590 | 1 | Asthma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 121255904 | 12125590 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121255904 | 12125590 | Asthenia | |
| 121255904 | 12125590 | Asthma | |
| 121255904 | 12125590 | Chest discomfort | |
| 121255904 | 12125590 | Fatigue | |
| 121255904 | 12125590 | Feeling abnormal | |
| 121255904 | 12125590 | Headache | |
| 121255904 | 12125590 | Lower respiratory tract infection | |
| 121255904 | 12125590 | Nasopharyngitis | |
| 121255904 | 12125590 | Pruritus | |
| 121255904 | 12125590 | Vision blurred |
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 |
|---|---|---|---|---|---|---|
| 121255904 | 12125590 | 1 | 20140415 | 0 | ||
| 121255904 | 12125590 | 2 | 20151229 | 0 | ||
| 121255904 | 12125590 | 3 | 20160126 | 0 | ||
| 121255904 | 12125590 | 4 | 20160419 | 0 |