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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126410721 | 12641072 | 1 | I | 20160727 | 20160728 | 20160810 | 20160810 | PER | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-49728BP | BOEHRINGER INGELHEIM | 60.00 | YR | M | Y | 0.00000 | 20160810 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126410721 | 12641072 | 1 | PS | ATROVENT | IPRATROPIUM BROMIDE | 1 | Respiratory (inhalation) | 2 ANZ | N | 150263W | 21527 | INHALATION SOLUTION | BID | ||||||
| 126410721 | 12641072 | 2 | C | VENTOLIN | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | 1 ANZ | 0 | NEBULISER LIQUID | QD | ||||||||
| 126410721 | 12641072 | 3 | C | BACLOFEN. | BACLOFEN | 1 | Oral | 10 MG | 0 | 10 | MG | TABLET | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126410721 | 12641072 | 1 | Emphysema |
| 126410721 | 12641072 | 2 | Emphysema |
| 126410721 | 12641072 | 3 | Muscle spasms |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126410721 | 12641072 | Chest discomfort | |
| 126410721 | 12641072 | Dyspnoea | |
| 126410721 | 12641072 | Product quality issue |
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 |
|---|---|---|---|---|---|---|
| 126410721 | 12641072 | 1 | 20160707 | 20160727 | 0 | |
| 126410721 | 12641072 | 2 | 201605 | 0 | ||
| 126410721 | 12641072 | 3 | 2015 | 0 |