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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126341621 | 12634162 | 1 | I | 2014 | 20160803 | 20160809 | 20160809 | EXP | US-GLAXOSMITHKLINE-US2016113006 | GLAXOSMITHKLINE | 0.00 | F | Y | 0.00000 | 20160809 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126341621 | 12634162 | 1 | PS | ADVAIR DISKUS | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Respiratory (inhalation) | 1 PUFF(S), BID | UNKNOWN | 21077 | 1 | DF | INHALATION POWDER | BID | |||||
| 126341621 | 12634162 | 2 | SS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | 1 PUFF(S), PRN | UNKNOWN | 0 | 1 | DF |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126341621 | 12634162 | 1 | Dyspnoea |
| 126341621 | 12634162 | 2 | Dyspnoea |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126341621 | 12634162 | HO |
| 126341621 | 12634162 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126341621 | 12634162 | Amnesia | |
| 126341621 | 12634162 | Balance disorder | |
| 126341621 | 12634162 | Benign tumour excision | |
| 126341621 | 12634162 | Brain neoplasm benign | |
| 126341621 | 12634162 | Brain tumour operation | |
| 126341621 | 12634162 | Breast cyst | |
| 126341621 | 12634162 | Breast pain | |
| 126341621 | 12634162 | Fall | |
| 126341621 | 12634162 | Headache | |
| 126341621 | 12634162 | Seizure |
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 |
|---|---|---|---|---|---|---|
| 126341621 | 12634162 | 1 | 201401 | 0 | ||
| 126341621 | 12634162 | 2 | 201401 | 0 |