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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125831691 | 12583169 | 1 | I | 2014 | 20160708 | 20160722 | 20160722 | EXP | US-GLAXOSMITHKLINE-US2016098063 | GLAXOSMITHKLINE | 0.00 | F | Y | 0.00000 | 20160722 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125831691 | 12583169 | 1 | PS | ADVAIR DISKUS | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Respiratory (inhalation) | 1 PUFF(S), QD | 6ZP3932 | 21077 | 1 | DF | INHALATION POWDER | QD | |||||
| 125831691 | 12583169 | 2 | SS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | UNK | U | 6ZP5557 | 0 | ||||||||
| 125831691 | 12583169 | 3 | C | LOESTRIN NOS | ETHINYL ESTRADIOLNORETHINDRONE ACETATE | 1 | 0 | ||||||||||||
| 125831691 | 12583169 | 4 | C | SINGULAIR | MONTELUKAST SODIUM | 1 | 0 | ||||||||||||
| 125831691 | 12583169 | 5 | C | XYZAL | LEVOCETIRIZINE DIHYDROCHLORIDE | 1 | 0 | ||||||||||||
| 125831691 | 12583169 | 6 | C | ZYRTEC | CETIRIZINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 125831691 | 12583169 | 7 | C | MOMETASONE FUROATE MONOHYDRATE. | MOMETASONE FUROATE MONOHYDRATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125831691 | 12583169 | 1 | Asthma |
| 125831691 | 12583169 | 2 | Asthma |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125831691 | 12583169 | Asthma | |
| 125831691 | 12583169 | Device use error | |
| 125831691 | 12583169 | Drug ineffective | |
| 125831691 | 12583169 | Intentional product use issue | |
| 125831691 | 12583169 | Treatment noncompliance | |
| 125831691 | 12583169 | Wrong technique in product usage process |
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 |
|---|---|---|---|---|---|---|
| 125831691 | 12583169 | 1 | 2002 | 0 |