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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126422231 | 12642223 | 1 | I | 2011 | 20160728 | 20160810 | 20160810 | PER | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-49722BP | BOEHRINGER INGELHEIM | 53.14 | YR | F | Y | 0.00000 | 20160810 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126422231 | 12642223 | 1 | PS | COMBIVENT | ALBUTEROL SULFATEIPRATROPIUM BROMIDE | 1 | Respiratory (inhalation) | DOSE PER APPLICATION, DAILY DOSE: 20 MCG / 100 MCG; | 504373A | 21747 | PRESSURISED INHALATION | ||||||||
| 126422231 | 12642223 | 2 | C | VENTOLIN | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | 0 | NEBULISER LIQUID | QD | |||||||||
| 126422231 | 12642223 | 3 | C | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | Respiratory (inhalation) | DOSE PER APPLICATION, DAILY DOSE: 500 MCG / 50 MCG | 0 | NEBULISER LIQUID | BID | ||||||||
| 126422231 | 12642223 | 4 | C | ADVAIR HFA | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126422231 | 12642223 | 1 | Chronic obstructive pulmonary disease |
| 126422231 | 12642223 | 2 | Asthma |
| 126422231 | 12642223 | 3 | Chronic obstructive pulmonary disease |
| 126422231 | 12642223 | 4 | Asthma |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126422231 | 12642223 | Bipolar disorder | |
| 126422231 | 12642223 | Incorrect dose administered | |
| 126422231 | 12642223 | Memory impairment | |
| 126422231 | 12642223 | Post-traumatic stress disorder | |
| 126422231 | 12642223 | Stress |
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 |
|---|---|---|---|---|---|---|
| 126422231 | 12642223 | 1 | 2011 | 0 | ||
| 126422231 | 12642223 | 3 | 2003 | 0 |