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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125449041 | 12544904 | 1 | I | 201602 | 20160630 | 20160711 | 20160711 | EXP | US-GLAXOSMITHKLINE-US2016094125 | GLAXOSMITHKLINE | 79.35 | YR | F | Y | 0.00000 | 20160711 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125449041 | 12544904 | 1 | SS | Seasonal Influenza vaccine | INFLUENZA VIRUS VACCINE | 1 | 0 | SOLUTION FOR INJECTION | |||||||||||
| 125449041 | 12544904 | 2 | PS | FLOVENT | FLUTICASONE PROPIONATE | 1 | U | 20121 | |||||||||||
| 125449041 | 12544904 | 3 | SS | VENTOLIN | ALBUTEROL SULFATE | 1 | U | 0 | |||||||||||
| 125449041 | 12544904 | 4 | SS | PNEUMOCOCCAL VACCINE POLYVALENT NOS | PNEUMOCOCCAL VACCINE POLYVALENT | 1 | 0 | ||||||||||||
| 125449041 | 12544904 | 5 | C | NEBULIZER (NAME UNKNOWN) | DEVICE | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125449041 | 12544904 | 1 | Prophylaxis |
| 125449041 | 12544904 | 2 | Product used for unknown indication |
| 125449041 | 12544904 | 3 | Product used for unknown indication |
| 125449041 | 12544904 | 4 | Prophylaxis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125449041 | 12544904 | OT |
| 125449041 | 12544904 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125449041 | 12544904 | Breast cancer | |
| 125449041 | 12544904 | Bronchitis | |
| 125449041 | 12544904 | Cough | |
| 125449041 | 12544904 | Ear pain | |
| 125449041 | 12544904 | Feeling abnormal | |
| 125449041 | 12544904 | Haemoptysis | |
| 125449041 | 12544904 | Influenza | |
| 125449041 | 12544904 | Malaise | |
| 125449041 | 12544904 | Pneumonia | |
| 125449041 | 12544904 | Swelling | |
| 125449041 | 12544904 | Vaccination failure |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |