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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125855452 | 12585545 | 2 | F | 20160809 | 20160725 | 20160816 | EXP | PHHY2016US100970 | SANDOZ | 0.00 | F | Y | 0.00000 | 20160816 | CN | COUNTRY NOT SPECIFIED | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125855452 | 12585545 | 1 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | 375 MG, EVERY 2 WEEKS (21 DAYS ON AND 7 DAYS OFF) | U | 0 | 375 | MG | QOW | ||||||
| 125855452 | 12585545 | 2 | SS | XOLAIR | OMALIZUMAB | 1 | U | 0 | |||||||||||
| 125855452 | 12585545 | 3 | PS | CLINDAMYCIN | CLINDAMYCINCLINDAMYCIN PHOSPHATE | 1 | Unknown | U | 201692 | ||||||||||
| 125855452 | 12585545 | 4 | C | DULERA | FORMOTEROL FUMARATE DIHYDRATEMOMETASONE FUROATE | 1 | Unknown | U | 0 | ||||||||||
| 125855452 | 12585545 | 5 | C | ALBUTEROL. | ALBUTEROL | 1 | Unknown | U | 0 | ||||||||||
| 125855452 | 12585545 | 6 | C | ESTRADIOL. | ESTRADIOL | 1 | Unknown | U | 0 | ||||||||||
| 125855452 | 12585545 | 7 | C | ZANTAC | RANITIDINE HYDROCHLORIDE | 1 | Unknown | U | 0 | ||||||||||
| 125855452 | 12585545 | 8 | C | CLARITIN | LORATADINE | 1 | Unknown | U | 0 | ||||||||||
| 125855452 | 12585545 | 9 | C | DYMISTA | AZELASTINE HYDROCHLORIDEFLUTICASONE PROPIONATE | 1 | Unknown | U | 0 | ||||||||||
| 125855452 | 12585545 | 10 | C | VITAMIN C | ASCORBIC ACID | 1 | Unknown | U | 0 | ||||||||||
| 125855452 | 12585545 | 11 | C | PROAIR HFA | ALBUTEROL SULFATE | 1 | Unknown | U | 0 | ||||||||||
| 125855452 | 12585545 | 12 | C | DILTIAZEM. | DILTIAZEM | 1 | Unknown | U | 0 | ||||||||||
| 125855452 | 12585545 | 13 | C | HYDROCHLOROTHIAZIDE. | HYDROCHLOROTHIAZIDE | 1 | Unknown | U | 0 | ||||||||||
| 125855452 | 12585545 | 14 | C | LORAZEPAM. | LORAZEPAM | 1 | Unknown | 1 MG, UNK | U | 0 | 1 | MG | |||||||
| 125855452 | 12585545 | 15 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Unknown | U | 0 | ||||||||||
| 125855452 | 12585545 | 16 | C | ATIVAN | LORAZEPAM | 1 | Unknown | U | 0 | ||||||||||
| 125855452 | 12585545 | 17 | C | ULTRAM | TRAMADOL HYDROCHLORIDE | 1 | Unknown | U | 0 | ||||||||||
| 125855452 | 12585545 | 18 | C | VITAMIN E | .ALPHA.-TOCOPHEROL | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125855452 | 12585545 | 1 | Asthma |
| 125855452 | 12585545 | 2 | Hypersensitivity |
| 125855452 | 12585545 | 3 | Sinusitis |
| 125855452 | 12585545 | 4 | Product used for unknown indication |
| 125855452 | 12585545 | 5 | Product used for unknown indication |
| 125855452 | 12585545 | 6 | Hysterectomy |
| 125855452 | 12585545 | 7 | Product used for unknown indication |
| 125855452 | 12585545 | 8 | Product used for unknown indication |
| 125855452 | 12585545 | 9 | Product used for unknown indication |
| 125855452 | 12585545 | 10 | Product used for unknown indication |
| 125855452 | 12585545 | 11 | Product used for unknown indication |
| 125855452 | 12585545 | 12 | Hypertension |
| 125855452 | 12585545 | 13 | Hypertension |
| 125855452 | 12585545 | 14 | Anxiety |
| 125855452 | 12585545 | 15 | Product used for unknown indication |
| 125855452 | 12585545 | 16 | Product used for unknown indication |
| 125855452 | 12585545 | 17 | Product used for unknown indication |
| 125855452 | 12585545 | 18 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125855452 | 12585545 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125855452 | 12585545 | Asthma | |
| 125855452 | 12585545 | Drug hypersensitivity | |
| 125855452 | 12585545 | Hypersensitivity | |
| 125855452 | 12585545 | Sinusitis |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |