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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126409343 | 12640934 | 3 | F | 2016 | 20160912 | 20160810 | 20160914 | EXP | CN-GLAXOSMITHKLINE-CN2016GSK113124 | GLAXOSMITHKLINE | 40.00 | MON | M | Y | 0.00000 | 20160914 | CN | CN | CN |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126409343 | 12640934 | 1 | PS | Flixotide | FLUTICASONE PROPIONATE | 1 | Respiratory (inhalation) | 125 UG, 1D | YJ0260 | 21433 | 125 | UG | QD | ||||||
| 126409343 | 12640934 | 2 | SS | Flixotide | FLUTICASONE PROPIONATE | 1 | Respiratory (inhalation) | 1 PUFF(S), QD | 21433 | 1 | DF | QD | |||||||
| 126409343 | 12640934 | 3 | SS | Flixotide | FLUTICASONE PROPIONATE | 1 | UNK UNK, SINGLE | YJ0260 | 21433 | ||||||||||
| 126409343 | 12640934 | 4 | SS | MONTELUKAST SODIUM. | MONTELUKAST SODIUM | 1 | Oral | U | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126409343 | 12640934 | 1 | Asthma |
| 126409343 | 12640934 | 4 | Asthma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126409343 | 12640934 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126409343 | 12640934 | Asthma | |
| 126409343 | 12640934 | Cough | |
| 126409343 | 12640934 | Drug dose omission | |
| 126409343 | 12640934 | Inappropriate schedule of drug administration | |
| 126409343 | 12640934 | Product physical issue | |
| 126409343 | 12640934 | Product use issue | |
| 126409343 | 12640934 | Suspected counterfeit product | |
| 126409343 | 12640934 | Underdose |
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 |
|---|---|---|---|---|---|---|
| 126409343 | 12640934 | 3 | 20160803 | 0 |