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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126360411 | 12636041 | 1 | I | 201605 | 20160408 | 20160809 | 20160809 | PER | US-ASTRAZENECA-2016SE82633 | ASTRAZENECA | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126360411 | 12636041 | 1 | PS | TUDORZA PRESSAIR | ACLIDINIUM BROMIDE | 1 | Respiratory (inhalation) | 400 MCG, UNKNOWN | 202450 | INHALATION POWDER | |||||||||
| 126360411 | 12636041 | 2 | SS | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | 160/4.5MCG, 1 PUFF TWICE DAILY | 0 | ||||||||||
| 126360411 | 12636041 | 3 | C | XOPENEX HFA | LEVALBUTEROL TARTRATE | 1 | AS REQUIRED | 0 | |||||||||||
| 126360411 | 12636041 | 4 | C | MEDICATION | UNSPECIFIED INGREDIENT | 1 | 0 | ||||||||||||
| 126360411 | 12636041 | 5 | C | MEDICATION | UNSPECIFIED INGREDIENT | 1 | 0 | ||||||||||||
| 126360411 | 12636041 | 6 | C | MEDICATION | UNSPECIFIED INGREDIENT | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126360411 | 12636041 | 1 | Asthma |
| 126360411 | 12636041 | 2 | Asthma |
| 126360411 | 12636041 | 4 | Blood cholesterol abnormal |
| 126360411 | 12636041 | 5 | Hypotension |
| 126360411 | 12636041 | 6 | Inhalation therapy |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126360411 | 12636041 | Asthma | |
| 126360411 | 12636041 | Discomfort | |
| 126360411 | 12636041 | Dysphonia | |
| 126360411 | 12636041 | Fatigue | |
| 126360411 | 12636041 | Fluid retention | |
| 126360411 | 12636041 | Off label use | |
| 126360411 | 12636041 | Pain | |
| 126360411 | 12636041 | 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 |
|---|---|---|---|---|---|---|
| 126360411 | 12636041 | 2 | 201601 | 0 |