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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126103822 | 12610382 | 2 | F | 2015 | 20160907 | 20160801 | 20160908 | EXP | US-GLAXOSMITHKLINE-US2016109166 | GLAXOSMITHKLINE | 66.84 | YR | F | Y | 0.00000 | 20160908 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126103822 | 12610382 | 1 | PS | ADVAIR DISKUS | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Respiratory (inhalation) | 1 PUFF(S), BID | U | 5ZP0753 | 21077 | 1 | DF | INHALATION POWDER | BID | ||||
| 126103822 | 12610382 | 2 | SS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | 1 PUFF(S), EVERY 4 HOURS PRN | 6ZP6060 | 0 | 1 | DF | |||||||
| 126103822 | 12610382 | 3 | SS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | 0 | ||||||||||||
| 126103822 | 12610382 | 4 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126103822 | 12610382 | 1 | Asthma |
| 126103822 | 12610382 | 2 | Asthma |
| 126103822 | 12610382 | 3 | Pneumonia |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126103822 | 12610382 | OT |
| 126103822 | 12610382 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126103822 | 12610382 | Condition aggravated | |
| 126103822 | 12610382 | Dyspnoea | |
| 126103822 | 12610382 | Emergency care | |
| 126103822 | 12610382 | Nasopharyngitis | |
| 126103822 | 12610382 | Pneumonia | |
| 126103822 | 12610382 | Respiratory tract infection |
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 |
|---|---|---|---|---|---|---|
| 126103822 | 12610382 | 1 | 2015 | 0 | ||
| 126103822 | 12610382 | 2 | 2015 | 0 |