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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122975592 | 12297559 | 2 | F | 20160223 | 20160527 | 20160422 | 20160727 | PER | US-ASTRAZENECA-2016SE29517 | ASTRAZENECA | 25368.00 | DY | F | Y | 83.90000 | KG | 20160727 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122975592 | 12297559 | 1 | PS | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | 160/4.5MCG, TWO PUFFS TWICE A DAY | 21929 | BID | |||||||||
| 122975592 | 12297559 | 2 | SS | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | 160/4.5MCG, TWO PUFFS TWICE A DAY | 3001131C00 | 21929 | BID | ||||||||
| 122975592 | 12297559 | 3 | C | PREDNISONE. | PREDNISONE | 1 | 0 | ||||||||||||
| 122975592 | 12297559 | 4 | C | ALBUTEROL. | ALBUTEROL | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 122975592 | 12297559 | 1 | Allergic bronchitis |
| 122975592 | 12297559 | 2 | Allergic bronchitis |
| 122975592 | 12297559 | 3 | Allergic bronchitis |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 122975592 | 12297559 | Circumstance or information capable of leading to medication error | |
| 122975592 | 12297559 | Device malfunction | |
| 122975592 | 12297559 | 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 |
|---|---|---|---|---|---|---|
| 122975592 | 12297559 | 1 | 2014 | 0 | ||
| 122975592 | 12297559 | 2 | 201602 | 0 |