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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121948223 | 12194822 | 3 | F | 2011 | 20160922 | 20160321 | 20160928 | EXP | US-GLAXOSMITHKLINE-US2016038369 | GLAXOSMITHKLINE | 0.00 | M | Y | 0.00000 | 20160928 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121948223 | 12194822 | 1 | PS | BREO ELLIPTA | FLUTICASONE FUROATEVILANTEROL TRIFENATATE | 1 | 100/25 MCG, UNK | R727338 | 204275 | INHALATION POWDER | |||||||||
| 121948223 | 12194822 | 2 | SS | BREO ELLIPTA | FLUTICASONE FUROATEVILANTEROL TRIFENATATE | 1 | Respiratory (inhalation) | 200/25 MCG, 1 PUFF(S), QD | R767561 | 204275 | 1 | DF | INHALATION POWDER | QD | |||||
| 121948223 | 12194822 | 3 | SS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | UNK UNK, PRN | 5ZP9872 | 0 | ||||||||||
| 121948223 | 12194822 | 4 | C | BECLOMETHASONE | BECLOMETHASONE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121948223 | 12194822 | 1 | Dyspnoea |
| 121948223 | 12194822 | 2 | Asthma |
| 121948223 | 12194822 | 3 | Dyspnoea |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 121948223 | 12194822 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121948223 | 12194822 | Device use error | |
| 121948223 | 12194822 | Diabetes mellitus | |
| 121948223 | 12194822 | Dyspnoea | |
| 121948223 | 12194822 | Hypertension | |
| 121948223 | 12194822 | Weight increased |
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 |
|---|---|---|---|---|---|---|
| 121948223 | 12194822 | 1 | 201603 | 0 | ||
| 121948223 | 12194822 | 2 | 201603 | 0 |