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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123713072 | 12371307 | 2 | F | 20160513 | 20160516 | 20160803 | PER | US-ASTRAZENECA-2016SE37113 | ASTRAZENECA | 0.00 | F | Y | 67.10000 | KG | 20160803 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123713072 | 12371307 | 1 | PS | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | 160/4.5 MCG 2 PUFFS TWICE A DAY | 3001121C00 | 21929 | BID | ||||||||
| 123713072 | 12371307 | 2 | SS | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | 160/4.5 MCG 2 PUFFS TWICE A DAY | 3001121C00 | 21929 | BID | ||||||||
| 123713072 | 12371307 | 3 | C | MULTIVITAMIN | VITAMINS | 1 | DAILY | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 123713072 | 12371307 | 1 | Cough |
| 123713072 | 12371307 | 2 | Nasopharyngitis |
| 123713072 | 12371307 | 3 | Supplementation therapy |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 123713072 | 12371307 | Device malfunction | |
| 123713072 | 12371307 | Drug dose omission | |
| 123713072 | 12371307 | Feeling abnormal | |
| 123713072 | 12371307 | Malaise | |
| 123713072 | 12371307 | Off label use | |
| 123713072 | 12371307 | Product use issue |
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 |
|---|---|---|---|---|---|---|
| 123713072 | 12371307 | 1 | 201603 | 0 | ||
| 123713072 | 12371307 | 2 | 201603 | 0 |