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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125543911 | 12554391 | 1 | I | 20160303 | 20160711 | 20160713 | 20160713 | EXP | US-GLAXOSMITHKLINE-US2016099102 | GLAXOSMITHKLINE | 62.00 | YR | M | Y | 0.00000 | 20160713 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125543911 | 12554391 | 1 | PS | LOVAZA | OMEGA-3-ACID ETHYL ESTERS | 1 | U | UNKNOWN | 21654 | CAPSULE | |||||||||
| 125543911 | 12554391 | 2 | SS | VENTOLIN | ALBUTEROL SULFATE | 1 | U | 6ZP5079 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125543911 | 12554391 | 1 | Product used for unknown indication |
| 125543911 | 12554391 | 2 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125543911 | 12554391 | OT |
| 125543911 | 12554391 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125543911 | 12554391 | Dyspnoea | |
| 125543911 | 12554391 | Intervertebral disc protrusion | |
| 125543911 | 12554391 | Meniscus injury | |
| 125543911 | 12554391 | Pain | |
| 125543911 | 12554391 | Road traffic accident | |
| 125543911 | 12554391 | Sleep disorder | |
| 125543911 | 12554391 | Somnolence | |
| 125543911 | 12554391 | Spinal fracture | |
| 125543911 | 12554391 | Wheezing |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |