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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126196901 | 12619690 | 1 | I | 2016 | 20160801 | 20160803 | 20160803 | EXP | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-50394BP | BOEHRINGER INGELHEIM | 0.00 | F | Y | 0.00000 | 20160803 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126196901 | 12619690 | 1 | PS | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Respiratory (inhalation) | 18 MCG | 21395 | 18 | UG | INHALATION POWDER, HARD CAPSULE | QD | ||||||
126196901 | 12619690 | 2 | C | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Unknown | 0 | |||||||||||
126196901 | 12619690 | 3 | C | ALBUTEROL. | ALBUTEROL | 1 | Unknown | 0 | |||||||||||
126196901 | 12619690 | 4 | C | NAPROXEN. | NAPROXEN | 1 | Unknown | 0 | |||||||||||
126196901 | 12619690 | 5 | C | Ipratropium | IPRATROPIUM | 1 | Unknown | 0 | |||||||||||
126196901 | 12619690 | 6 | C | Oxybutin | OXYBUTYNIN | 1 | Unknown | 0 | |||||||||||
126196901 | 12619690 | 7 | C | Prozaac | 2 | Unknown | 0 | ||||||||||||
126196901 | 12619690 | 8 | C | XANAX | ALPRAZOLAM | 1 | Unknown | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126196901 | 12619690 | 1 | Product used for unknown indication |
126196901 | 12619690 | 2 | Product used for unknown indication |
126196901 | 12619690 | 3 | Product used for unknown indication |
126196901 | 12619690 | 4 | Product used for unknown indication |
126196901 | 12619690 | 5 | Product used for unknown indication |
126196901 | 12619690 | 6 | Product used for unknown indication |
126196901 | 12619690 | 7 | Product used for unknown indication |
126196901 | 12619690 | 8 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126196901 | 12619690 | DE |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126196901 | 12619690 | Death |
Reporting Sources (this data is often not reported and may therefore be missing here)
no results found |
Therapies reported
no results found |