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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125322791 | 12532279 | 1 | I | 201606 | 20160630 | 20160706 | 20160706 | EXP | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-43063BP | BOEHRINGER INGELHEIM | 55.10 | YR | M | Y | 0.00000 | 20160706 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125322791 | 12532279 | 1 | PS | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Respiratory (inhalation) | 507710A | 21395 | 18 | UG | INHALATION POWDER, HARD CAPSULE | |||||||
125322791 | 12532279 | 2 | SS | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Respiratory (inhalation) | 36 MCG | 507710A | 21395 | 18 | UG | INHALATION POWDER, HARD CAPSULE | BID | |||||
125322791 | 12532279 | 3 | SS | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Oral | 18 MCG | 507710A | 21395 | 18 | UG | INHALATION POWDER, HARD CAPSULE | QD |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125322791 | 12532279 | 1 | Chronic obstructive pulmonary disease |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
125322791 | 12532279 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125322791 | 12532279 | Eye disorder | |
125322791 | 12532279 | Incorrect dose administered | |
125322791 | 12532279 | Incorrect route of drug administration | |
125322791 | 12532279 | Nervousness |
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 |
---|---|---|---|---|---|---|
125322791 | 12532279 | 1 | 201605 | 0 | ||
125322791 | 12532279 | 2 | 201606 | 20160630 | 0 | |
125322791 | 12532279 | 3 | 20160630 | 20160630 | 0 |