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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124382953 | 12438295 | 3 | F | 201601 | 20160629 | 20160606 | 20160705 | EXP | US-GLAXOSMITHKLINE-US2016079449 | GLAXOSMITHKLINE | 4.31 | YR | M | Y | 0.00000 | 20160705 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124382953 | 12438295 | 1 | PS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | 2 PUFF(S), PRN | JL7C | 20983 | 2 | DF | |||||||
| 124382953 | 12438295 | 2 | SS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | 20983 | ||||||||||||
| 124382953 | 12438295 | 3 | SS | ALBUTEROL. | ALBUTEROL | 1 | U | 20983 | |||||||||||
| 124382953 | 12438295 | 4 | C | QVAR | BECLOMETHASONE DIPROPIONATE | 1 | 0 | ||||||||||||
| 124382953 | 12438295 | 5 | C | ZYRTEC | CETIRIZINE HYDROCHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124382953 | 12438295 | 1 | Asthma |
| 124382953 | 12438295 | 2 | Dyspnoea |
| 124382953 | 12438295 | 3 | Dyspnoea |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124382953 | 12438295 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124382953 | 12438295 | Atypical pneumonia | |
| 124382953 | 12438295 | Bronchiolitis | |
| 124382953 | 12438295 | Cough | |
| 124382953 | 12438295 | Device use error | |
| 124382953 | 12438295 | Drug administered to patient of inappropriate age | |
| 124382953 | 12438295 | Drug dose omission | |
| 124382953 | 12438295 | Nasopharyngitis | |
| 124382953 | 12438295 | Pneumonia | |
| 124382953 | 12438295 | Product quality issue | |
| 124382953 | 12438295 | Pyrexia | |
| 124382953 | 12438295 | Rash | |
| 124382953 | 12438295 | Rash erythematous | |
| 124382953 | 12438295 | Viral infection | |
| 124382953 | 12438295 | Vomiting |
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 |
|---|---|---|---|---|---|---|
| 124382953 | 12438295 | 1 | 2015 | 0 |