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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124720542 | 12472054 | 2 | F | 2014 | 20160725 | 20160616 | 20160804 | PER | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-35878BP | BOEHRINGER INGELHEIM | 83.22 | YR | F | Y | 0.00000 | 20160804 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124720542 | 12472054 | 1 | PS | COMBIVENT | ALBUTEROL SULFATEIPRATROPIUM BROMIDE | 1 | Respiratory (inhalation) | DOSE PER APPLICATION DAILY DOSE: 20 MCG / 100 MCG; DAILY DOSE: 60MCG/300MCG | 504177B,504177,15L0108 | 21747 | PRESSURISED INHALATION | TID | |||||||
| 124720542 | 12472054 | 2 | SS | COMBIVENT | ALBUTEROL SULFATEIPRATROPIUM BROMIDE | 1 | 504177B,504177,15L0108 | 21747 | |||||||||||
| 124720542 | 12472054 | 3 | C | QVAR | BECLOMETHASONE DIPROPIONATE | 1 | Respiratory (inhalation) | 0 | ORAL SOLUTION | ||||||||||
| 124720542 | 12472054 | 4 | C | FLOVENT | FLUTICASONE PROPIONATE | 1 | Respiratory (inhalation) | 0 | NEBULISER LIQUID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124720542 | 12472054 | 1 | Chronic obstructive pulmonary disease |
| 124720542 | 12472054 | 2 | Asthma |
| 124720542 | 12472054 | 3 | Asthma |
| 124720542 | 12472054 | 4 | Asthma |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124720542 | 12472054 | Bronchitis | |
| 124720542 | 12472054 | Off label use | |
| 124720542 | 12472054 | Product quality 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 |
|---|---|---|---|---|---|---|
| 124720542 | 12472054 | 1 | 2014 | 0 |