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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124273042 | 12427304 | 2 | F | 20150710 | 20160725 | 20160602 | 20160728 | EXP | JP-ROCHE-1767995 | ROCHE | 12.19 | YR | M | Y | 29.00000 | KG | 20160728 | MD | JP | JP |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124273042 | 12427304 | 1 | PS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 103976 | 150 | MG | SOLUTION FOR INJECTION | ||||||||
| 124273042 | 12427304 | 2 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 103976 | 150 | MG | SOLUTION FOR INJECTION | ||||||||
| 124273042 | 12427304 | 3 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 103976 | 150 | MG | SOLUTION FOR INJECTION | ||||||||
| 124273042 | 12427304 | 4 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 103976 | 150 | MG | SOLUTION FOR INJECTION | ||||||||
| 124273042 | 12427304 | 5 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 103976 | 300 | MG | SOLUTION FOR INJECTION | ||||||||
| 124273042 | 12427304 | 6 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 103976 | 300 | MG | SOLUTION FOR INJECTION | ||||||||
| 124273042 | 12427304 | 7 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 103976 | 300 | MG | SOLUTION FOR INJECTION | ||||||||
| 124273042 | 12427304 | 8 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 103976 | 300 | MG | SOLUTION FOR INJECTION | ||||||||
| 124273042 | 12427304 | 9 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 103976 | 300 | MG | SOLUTION FOR INJECTION | ||||||||
| 124273042 | 12427304 | 10 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 103976 | 300 | MG | SOLUTION FOR INJECTION | ||||||||
| 124273042 | 12427304 | 11 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 103976 | 300 | MG | SOLUTION FOR INJECTION | ||||||||
| 124273042 | 12427304 | 12 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 103976 | 300 | MG | SOLUTION FOR INJECTION | ||||||||
| 124273042 | 12427304 | 13 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 103976 | 300 | MG | SOLUTION FOR INJECTION | ||||||||
| 124273042 | 12427304 | 14 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 103976 | 300 | MG | SOLUTION FOR INJECTION | ||||||||
| 124273042 | 12427304 | 15 | C | FLUTIFORM | FLUTICASONE PROPIONATEFORMOTEROL FUMARATE | 1 | Respiratory (inhalation) | 0 | 50 | UG | BID | ||||||||
| 124273042 | 12427304 | 16 | C | PRANLUKAST | PRANLUKAST | 1 | Oral | 0 | 112.5 | MG | BID | ||||||||
| 124273042 | 12427304 | 17 | C | THEO-DUR | THEOPHYLLINE ANHYDROUS | 1 | Oral | 100100 | MG | Y | 0 | 150 | MG | QD | |||||
| 124273042 | 12427304 | 18 | C | THEO-DUR | THEOPHYLLINE ANHYDROUS | 1 | Oral | 100100 | MG | Y | 0 | 200 | MG | QD | |||||
| 124273042 | 12427304 | 19 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | 16380 | UG | Y | 0 | 60 | UG | TID | |||||
| 124273042 | 12427304 | 20 | C | BISOLVON | BROMHEXINE HYDROCHLORIDE | 1 | Respiratory (inhalation) | 1.7 | ML | Y | 0 | .7 | ML | QD | |||||
| 124273042 | 12427304 | 21 | C | BISOLVON | BROMHEXINE HYDROCHLORIDE | 1 | Respiratory (inhalation) | 1.7 | ML | Y | 0 | 1 | ML | QD | |||||
| 124273042 | 12427304 | 22 | C | PULMICORT TURBUHALER | BUDESONIDE | 1 | Respiratory (inhalation) | .25 | MG | Y | 0 | .25 | MG | QD | |||||
| 124273042 | 12427304 | 23 | C | PULMICORT TURBUHALER | BUDESONIDE | 1 | Respiratory (inhalation) | .25 | MG | Y | 0 | .25 | MG | BID | |||||
| 124273042 | 12427304 | 24 | C | METHYLPREDNISOLONE. | METHYLPREDNISOLONE | 1 | Intravenous (not otherwise specified) | 0 | 40 | MG | QD | ||||||||
| 124273042 | 12427304 | 25 | C | METHYLPREDNISOLONE. | METHYLPREDNISOLONE | 1 | Intravenous (not otherwise specified) | 0 | 40 | MG | BID | ||||||||
| 124273042 | 12427304 | 26 | C | VENETLIN | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | .7 | ML | Y | 0 | .3 | ML | INHALATION VAPOUR | QD | ||||
| 124273042 | 12427304 | 27 | C | VENETLIN | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | .7 | ML | Y | 0 | .4 | ML | INHALATION VAPOUR | QD | ||||
| 124273042 | 12427304 | 28 | C | VENETLIN | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | .7 | ML | Y | 0 | .7 | ML | INHALATION VAPOUR | QD | ||||
| 124273042 | 12427304 | 29 | C | INTAL | CROMOLYN SODIUM | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124273042 | 12427304 | 1 | Asthma |
| 124273042 | 12427304 | 15 | Asthma |
| 124273042 | 12427304 | 16 | Asthma |
| 124273042 | 12427304 | 17 | Asthma |
| 124273042 | 12427304 | 19 | Asthma |
| 124273042 | 12427304 | 20 | Asthma |
| 124273042 | 12427304 | 22 | Asthma |
| 124273042 | 12427304 | 24 | Asthma |
| 124273042 | 12427304 | 26 | Asthma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124273042 | 12427304 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124273042 | 12427304 | Asthma |
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 |
|---|---|---|---|---|---|---|
| 124273042 | 12427304 | 1 | 20150221 | 0 | ||
| 124273042 | 12427304 | 2 | 20150320 | 0 | ||
| 124273042 | 12427304 | 3 | 20150418 | 0 | ||
| 124273042 | 12427304 | 4 | 20150516 | 0 | ||
| 124273042 | 12427304 | 5 | 20150717 | 0 | ||
| 124273042 | 12427304 | 6 | 20150828 | 0 | ||
| 124273042 | 12427304 | 7 | 20150926 | 0 | ||
| 124273042 | 12427304 | 8 | 20151023 | 0 | ||
| 124273042 | 12427304 | 9 | 20151127 | 0 | ||
| 124273042 | 12427304 | 10 | 20151225 | 0 | ||
| 124273042 | 12427304 | 11 | 20160122 | 0 | ||
| 124273042 | 12427304 | 12 | 20160219 | 0 | ||
| 124273042 | 12427304 | 13 | 20160318 | 0 | ||
| 124273042 | 12427304 | 14 | 20160423 | 0 | ||
| 124273042 | 12427304 | 15 | 20141219 | 0 | ||
| 124273042 | 12427304 | 17 | 20141002 | 20151225 | 0 | |
| 124273042 | 12427304 | 18 | 20141002 | 20151225 | 0 | |
| 124273042 | 12427304 | 19 | 20140920 | 20141219 | 0 | |
| 124273042 | 12427304 | 20 | 20150309 | 20150309 | 0 | |
| 124273042 | 12427304 | 21 | 20150309 | 20150309 | 0 | |
| 124273042 | 12427304 | 22 | 20150309 | 20150309 | 0 | |
| 124273042 | 12427304 | 23 | 20150710 | 20150715 | 0 | |
| 124273042 | 12427304 | 24 | 20150309 | 20150309 | 0 | |
| 124273042 | 12427304 | 25 | 20150710 | 20150714 | 0 | |
| 124273042 | 12427304 | 26 | 20150309 | 20150309 | 0 | |
| 124273042 | 12427304 | 27 | 20150309 | 20150309 | 0 | |
| 124273042 | 12427304 | 28 | 20160710 | 0 |