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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126064582 | 12606458 | 2 | F | 2015 | 20160801 | 20160729 | 20160808 | EXP | US-GLAXOSMITHKLINE-US2016109173 | GLAXOSMITHKLINE | 54.29 | YR | F | Y | 0.00000 | 20160808 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126064582 | 12606458 | 1 | PS | LAMICTAL | LAMOTRIGINE | 1 | 100 MG UNK, U | U | 20241 | TABLET | |||||||||
| 126064582 | 12606458 | 2 | SS | LAMICTAL | LAMOTRIGINE | 1 | U | 20241 | TABLET | ||||||||||
| 126064582 | 12606458 | 3 | SS | LAMICTAL | LAMOTRIGINE | 1 | U | 20241 | TABLET | ||||||||||
| 126064582 | 12606458 | 4 | SS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | UNK, U | U | 0 | ||||||||||
| 126064582 | 12606458 | 5 | SS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | U | 0 | |||||||||||
| 126064582 | 12606458 | 6 | SS | ALBUTEROL SULFATE. | ALBUTEROL SULFATE | 1 | U | UNKNOWN | 0 | ||||||||||
| 126064582 | 12606458 | 7 | SS | ALBUTEROL SULFATE. | ALBUTEROL SULFATE | 1 | U | 0 | |||||||||||
| 126064582 | 12606458 | 8 | SS | PROVENTIL | ALBUTEROL | 1 | U | 0 | |||||||||||
| 126064582 | 12606458 | 9 | C | EFFEXOR XR | VENLAFAXINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126064582 | 12606458 | 10 | C | GABAPENTIN. | GABAPENTIN | 1 | 0 | ||||||||||||
| 126064582 | 12606458 | 11 | C | REMERON | MIRTAZAPINE | 1 | 0 | ||||||||||||
| 126064582 | 12606458 | 12 | C | SEROQUEL | QUETIAPINE FUMARATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126064582 | 12606458 | 1 | Affective disorder |
| 126064582 | 12606458 | 2 | Bipolar disorder |
| 126064582 | 12606458 | 3 | Depression |
| 126064582 | 12606458 | 4 | Chronic obstructive pulmonary disease |
| 126064582 | 12606458 | 5 | Asthma |
| 126064582 | 12606458 | 6 | Chronic obstructive pulmonary disease |
| 126064582 | 12606458 | 7 | Asthma |
| 126064582 | 12606458 | 8 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126064582 | 12606458 | HO |
| 126064582 | 12606458 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126064582 | 12606458 | Amnesia | |
| 126064582 | 12606458 | Back injury | |
| 126064582 | 12606458 | Drug dose omission | |
| 126064582 | 12606458 | Intentional product misuse | |
| 126064582 | 12606458 | Memory impairment | |
| 126064582 | 12606458 | Renal failure | |
| 126064582 | 12606458 | Road traffic accident |
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 |
|---|---|---|---|---|---|---|
| 126064582 | 12606458 | 1 | 20130310 | 0 | ||
| 126064582 | 12606458 | 4 | 2005 | 0 |