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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122817224 | 12281722 | 4 | F | 2016 | 20160804 | 20160419 | 20160810 | EXP | US-GLAXOSMITHKLINE-US2016GSK053611 | GLAXOSMITHKLINE | 83.69 | YR | F | Y | 0.00000 | 20160810 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122817224 | 12281722 | 1 | PS | BREO ELLIPTA | FLUTICASONE FUROATEVILANTEROL TRIFENATATE | 1 | Respiratory (inhalation) | UNK | U | UNKNOWN | 204275 | INHALATION POWDER | |||||||
| 122817224 | 12281722 | 2 | SS | BREO ELLIPTA | FLUTICASONE FUROATEVILANTEROL TRIFENATATE | 1 | UNK | U | R742691 | 204275 | INHALATION POWDER | ||||||||
| 122817224 | 12281722 | 3 | SS | ADVAIR DISKUS | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Y | U | UNKNOWN | 0 | INHALATION POWDER | ||||||||
| 122817224 | 12281722 | 4 | SS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | U | UNKNOWN | 0 | ||||||||||
| 122817224 | 12281722 | 5 | SS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | 200 MCG | U | 0 | ||||||||||
| 122817224 | 12281722 | 6 | SS | PROAIR HFA | ALBUTEROL SULFATE | 1 | Y | 0 | |||||||||||
| 122817224 | 12281722 | 7 | SS | SALBUTAMOL SULFATE | ALBUTEROL SULFATE | 1 | Y | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 122817224 | 12281722 | 1 | Asthma |
| 122817224 | 12281722 | 2 | Bronchitis |
| 122817224 | 12281722 | 3 | Product used for unknown indication |
| 122817224 | 12281722 | 4 | Asthma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 122817224 | 12281722 | HO |
| 122817224 | 12281722 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 122817224 | 12281722 | Accident | |
| 122817224 | 12281722 | Cardiac failure congestive | |
| 122817224 | 12281722 | Drug ineffective | |
| 122817224 | 12281722 | Drug interaction | |
| 122817224 | 12281722 | Fall | |
| 122817224 | 12281722 | Hip arthroplasty | |
| 122817224 | 12281722 | Hospitalisation | |
| 122817224 | 12281722 | Joint injury | |
| 122817224 | 12281722 | Living in residential institution | |
| 122817224 | 12281722 | Rehabilitation therapy |
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 |
|---|---|---|---|---|---|---|
| 122817224 | 12281722 | 1 | 201509 | 0 | ||
| 122817224 | 12281722 | 2 | 201510 | 0 |