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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126197762 | 12619776 | 2 | F | 20160321 | 20160805 | 20160803 | 20160808 | EXP | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-50443BP | BOEHRINGER INGELHEIM | 86.84 | YR | F | Y | 0.00000 | 20160808 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126197762 | 12619776 | 1 | PS | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Respiratory (inhalation) | 18 MCG | 21395 | 18 | UG | INHALATION POWDER, HARD CAPSULE | QD | ||||||
| 126197762 | 12619776 | 2 | C | METOPROLOL. | METOPROLOL | 1 | Oral | 0 | TABLET | ||||||||||
| 126197762 | 12619776 | 3 | C | NORCO | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | Oral | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126197762 | 12619776 | 1 | Chronic obstructive pulmonary disease |
| 126197762 | 12619776 | 2 | Hypertension |
| 126197762 | 12619776 | 3 | Pain |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126197762 | 12619776 | DE |
| 126197762 | 12619776 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126197762 | 12619776 | Death | |
| 126197762 | 12619776 | Fall | |
| 126197762 | 12619776 | Hip fracture | |
| 126197762 | 12619776 | Pneumonia |
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 |
|---|---|---|---|---|---|---|
| 126197762 | 12619776 | 1 | 2013 | 0 |