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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126512612 | 12651261 | 2 | F | 20160810 | 20160815 | 20160818 | EXP | CA-ROCHE-1812888 | ROCHE | 0.00 | F | Y | 0.00000 | 20160818 | OT | CA | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126512612 | 12651261 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | U | S0002F | 103976 | 300 | MG | SOLUTION FOR INJECTION | ||||||
| 126512612 | 12651261 | 2 | SS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | UNK | U | S0002F | 103976 | SOLUTION FOR INJECTION | |||||||
| 126512612 | 12651261 | 3 | SS | DILTIAZEM. | DILTIAZEM | 1 | Oral | U | 0 | 120 | MG | QD | |||||||
| 126512612 | 12651261 | 4 | SS | MONTELUKAST | MONTELUKAST SODIUM | 1 | Oral | U | 0 | 10 | MG | QD | |||||||
| 126512612 | 12651261 | 5 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Unknown | U | 0 | ||||||||||
| 126512612 | 12651261 | 6 | C | PULMICORT TURBUHALER | BUDESONIDE | 1 | Unknown | U | 0 | ||||||||||
| 126512612 | 12651261 | 7 | C | VENTOLIN | ALBUTEROL SULFATE | 1 | Unknown | U | 0 | ||||||||||
| 126512612 | 12651261 | 8 | C | DOMPERIDONE | DOMPERIDONE | 1 | Unknown | U | 0 | ||||||||||
| 126512612 | 12651261 | 9 | C | LANSOPRAZOLE. | LANSOPRAZOLE | 1 | Unknown | U | 0 | ||||||||||
| 126512612 | 12651261 | 10 | C | HYDROMORPHONE | HYDROMORPHONE | 1 | Unknown | U | 0 | ||||||||||
| 126512612 | 12651261 | 11 | C | APO-FUROSEMIDE | FUROSEMIDE | 1 | Unknown | U | 0 | ||||||||||
| 126512612 | 12651261 | 12 | C | APO-FERROUS GLUCONATE | 2 | Unknown | U | 0 | |||||||||||
| 126512612 | 12651261 | 13 | C | LYRICA | PREGABALIN | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126512612 | 12651261 | 1 | Asthma |
| 126512612 | 12651261 | 3 | Heart valve incompetence |
| 126512612 | 12651261 | 4 | Dyspnoea |
| 126512612 | 12651261 | 5 | Product used for unknown indication |
| 126512612 | 12651261 | 6 | Product used for unknown indication |
| 126512612 | 12651261 | 7 | Product used for unknown indication |
| 126512612 | 12651261 | 8 | Product used for unknown indication |
| 126512612 | 12651261 | 9 | Product used for unknown indication |
| 126512612 | 12651261 | 10 | Product used for unknown indication |
| 126512612 | 12651261 | 11 | Product used for unknown indication |
| 126512612 | 12651261 | 12 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126512612 | 12651261 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126512612 | 12651261 | Balance disorder | |
| 126512612 | 12651261 | Blood pressure increased | |
| 126512612 | 12651261 | Mobility decreased | |
| 126512612 | 12651261 | Tremor |
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 |
|---|---|---|---|---|---|---|
| 126512612 | 12651261 | 1 | 20160323 | 0 | ||
| 126512612 | 12651261 | 2 | 20160713 | 0 | ||
| 126512612 | 12651261 | 3 | 2011 | 0 | ||
| 126512612 | 12651261 | 4 | 201506 | 0 |