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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122655136 | 12265513 | 6 | F | 2015 | 20160926 | 20160413 | 20160928 | EXP | US-GLAXOSMITHKLINE-US2016GSK044062 | GLAXOSMITHKLINE | 73.81 | YR | F | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122655136 | 12265513 | 1 | PS | ADVAIR DISKUS | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | UNK, U | 5ZP2918 | 21077 | INHALATION POWDER | |||||||||
| 122655136 | 12265513 | 2 | SS | ADVAIR DISKUS | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | UNK UNK, QD | 21077 | INHALATION POWDER | QD | |||||||||
| 122655136 | 12265513 | 3 | SS | ADVAIR DISKUS | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | UNK, BID | 21077 | INHALATION POWDER | BID | |||||||||
| 122655136 | 12265513 | 4 | SS | ALBUTEROL. | ALBUTEROL | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 122655136 | 12265513 | 1 | Asthma |
| 122655136 | 12265513 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 122655136 | 12265513 | OT |
| 122655136 | 12265513 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 122655136 | 12265513 | Drug dose omission | |
| 122655136 | 12265513 | Herpes zoster | |
| 122655136 | 12265513 | Immune system disorder | |
| 122655136 | 12265513 | Inability to afford medication | |
| 122655136 | 12265513 | Intentional product misuse | |
| 122655136 | 12265513 | Malaise | |
| 122655136 | 12265513 | Pneumonia | |
| 122655136 | 12265513 | Post herpetic neuralgia | |
| 122655136 | 12265513 | Rheumatoid arthritis | |
| 122655136 | 12265513 | 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 |
|---|---|---|---|---|---|---|
| 122655136 | 12265513 | 2 | 2011 | 2015 | 0 | |
| 122655136 | 12265513 | 3 | 2015 | 0 |