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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126520841 | 12652084 | 1 | I | 201607 | 20160727 | 20160815 | 20160815 | EXP | US-GLAXOSMITHKLINE-US2016109202 | GLAXOSMITHKLINE | 75.81 | YR | F | Y | 0.00000 | 20160815 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126520841 | 12652084 | 1 | PS | SEREVENT DISKUS | SALMETEROL XINAFOATE | 1 | Respiratory (inhalation) | 1 PUFF(S), BID | Y | N | 6ZP4851 | 20692 | 1 | DF | INHALATION POWDER | BID | |||
| 126520841 | 12652084 | 2 | C | ASPIRIN (BABY) | ASPIRIN | 1 | 0 | ||||||||||||
| 126520841 | 12652084 | 3 | C | FLEXERIL | CYCLOBENZAPRINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126520841 | 12652084 | 4 | C | TYLENOL WITH CODEINE | ACETAMINOPHENCODEINE PHOSPHATE | 1 | 0 | ||||||||||||
| 126520841 | 12652084 | 5 | C | VENTOLIN | ALBUTEROL SULFATE | 1 | 0 | ||||||||||||
| 126520841 | 12652084 | 6 | C | XANAX | ALPRAZOLAM | 1 | 0 | ||||||||||||
| 126520841 | 12652084 | 7 | C | ZANTAC | RANITIDINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126520841 | 12652084 | 8 | C | ZOLOFT | SERTRALINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 126520841 | 12652084 | 9 | C | SIMVASTATIN. | SIMVASTATIN | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126520841 | 12652084 | 1 | Chronic obstructive pulmonary disease |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126520841 | 12652084 | Device use error | |
| 126520841 | 12652084 | Drug dose omission | |
| 126520841 | 12652084 | Headache | |
| 126520841 | 12652084 | 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 |
|---|---|---|---|---|---|---|
| 126520841 | 12652084 | 1 | 20160715 | 0 |