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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126062332 | 12606233 | 2 | F | 20111129 | 20160728 | 20160729 | 20160807 | EXP | CA-ROCHE-1803540 | ROCHE | 65.63 | YR | F | Y | 0.00000 | 20160808 | MD | CA | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126062332 | 12606233 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0062 | 103976 | 300 | MG | SOLUTION FOR INJECTION | QOW | |||||
| 126062332 | 12606233 | 2 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0062 | 103976 | 300 | MG | SOLUTION FOR INJECTION | QOW | |||||
| 126062332 | 12606233 | 3 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | UNK | U | S0062 | 103976 | SOLUTION FOR INJECTION | |||||||
| 126062332 | 12606233 | 4 | SS | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Unknown | 0 | |||||||||||
| 126062332 | 12606233 | 5 | SS | ALVESCO | CICLESONIDE | 1 | Unknown | 0 | |||||||||||
| 126062332 | 12606233 | 6 | SS | VENTOLIN | ALBUTEROL SULFATE | 1 | Unknown | 0 | |||||||||||
| 126062332 | 12606233 | 7 | C | BRICANYL | TERBUTALINE SULFATE | 1 | Unknown | U | 0 | ||||||||||
| 126062332 | 12606233 | 8 | C | AVAMYS | FLUTICASONE FUROATE | 1 | Unknown | U | 0 | ||||||||||
| 126062332 | 12606233 | 9 | C | SINGULAIR | MONTELUKAST SODIUM | 1 | Unknown | U | 0 | ||||||||||
| 126062332 | 12606233 | 10 | C | AVELOX | MOXIFLOXACIN HYDROCHLORIDE | 1 | Unknown | 410 MG, QD FOR FIVE DAYS | U | 0 | 400 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126062332 | 12606233 | 1 | Asthma |
| 126062332 | 12606233 | 4 | Product used for unknown indication |
| 126062332 | 12606233 | 5 | Product used for unknown indication |
| 126062332 | 12606233 | 6 | Asthma |
| 126062332 | 12606233 | 7 | Product used for unknown indication |
| 126062332 | 12606233 | 8 | Product used for unknown indication |
| 126062332 | 12606233 | 9 | Product used for unknown indication |
| 126062332 | 12606233 | 10 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126062332 | 12606233 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126062332 | 12606233 | Asthma | |
| 126062332 | 12606233 | Cough | |
| 126062332 | 12606233 | Fall | |
| 126062332 | 12606233 | Heart rate increased | |
| 126062332 | 12606233 | Injection related reaction | |
| 126062332 | 12606233 | Productive cough | |
| 126062332 | 12606233 | Tremor |
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 |
|---|---|---|---|---|---|---|
| 126062332 | 12606233 | 1 | 20111129 | 0 | ||
| 126062332 | 12606233 | 2 | 20160309 | 0 | ||
| 126062332 | 12606233 | 3 | 20160406 | 0 |