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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125987631 | 12598763 | 1 | I | 2014 | 20160725 | 20160727 | 20160727 | EXP | US-GLAXOSMITHKLINE-US2016107804 | GLAXOSMITHKLINE | 0.00 | M | Y | 0.00000 | 20160727 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125987631 | 12598763 | 1 | PS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | 2 PUFF(S), PRN | Y | LP5E | 20983 | 2 | DF | ||||||
| 125987631 | 12598763 | 2 | C | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 125987631 | 12598763 | 3 | C | DULERA | FORMOTEROL FUMARATE DIHYDRATEMOMETASONE FUROATE | 1 | 0 | ||||||||||||
| 125987631 | 12598763 | 4 | C | LEVOCETIRIZINE | LEVOCETIRIZINE | 1 | 0 | ||||||||||||
| 125987631 | 12598763 | 5 | C | LEXAPRO | ESCITALOPRAM OXALATE | 1 | 0 | ||||||||||||
| 125987631 | 12598763 | 6 | C | MONTELUKAST | MONTELUKAST SODIUM | 1 | 0 | ||||||||||||
| 125987631 | 12598763 | 7 | C | OXYCODONE | OXYCODONE | 1 | 0 | ||||||||||||
| 125987631 | 12598763 | 8 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | 0 | ||||||||||||
| 125987631 | 12598763 | 9 | C | VALIUM | DIAZEPAM | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125987631 | 12598763 | 1 | Asthma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125987631 | 12598763 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125987631 | 12598763 | Agitation | |
| 125987631 | 12598763 | Anger | |
| 125987631 | 12598763 | Bronchitis | |
| 125987631 | 12598763 | Pneumonia | |
| 125987631 | 12598763 | Sinusitis |
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 |
|---|---|---|---|---|---|---|
| 125987631 | 12598763 | 1 | 2014 | 0 |