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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126528992 | 12652899 | 2 | F | 20141018 | 20160907 | 20160815 | 20160912 | EXP | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-52215BP | BOEHRINGER INGELHEIM | 72.23 | YR | F | Y | 0.00000 | 20160912 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126528992 | 12652899 | 1 | PS | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Respiratory (inhalation) | 18 MCG | 21395 | 18 | UG | INHALATION POWDER, HARD CAPSULE | QD | ||||||
| 126528992 | 12652899 | 2 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | 4 ANZ | 0 | NEBULISER LIQUID | BID | ||||||||
| 126528992 | 12652899 | 3 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | Oral | 75 MCG | 0 | 75 | UG | TABLET | QD | ||||||
| 126528992 | 12652899 | 4 | C | PANTOPRAZOLE | PANTOPRAZOLE SODIUM | 1 | Oral | 40 MG | 0 | 40 | MG | TABLET | QD | ||||||
| 126528992 | 12652899 | 5 | C | OMEGA 3 | OMEGA-3 FATTY ACIDS | 1 | Oral | 1600 MG | 0 | 1600 | MG | ORAL SUSPENSION | QD | ||||||
| 126528992 | 12652899 | 6 | C | MULTIVITAMIN | VITAMINS | 1 | Oral | 0 | ORAL SOLUTION | QD | |||||||||
| 126528992 | 12652899 | 7 | C | GLYBURIDE. | GLYBURIDE | 1 | Oral | 10 MG | 0 | 5 | MG | TABLET | BID | ||||||
| 126528992 | 12652899 | 8 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Oral | 4 ANZ | 0 | TABLET | BID | ||||||||
| 126528992 | 12652899 | 9 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Oral | 1500 U | 0 | 1500 | IU | ORAL SOLUTION | QD | ||||||
| 126528992 | 12652899 | 10 | C | ALPRAZOLAM. | ALPRAZOLAM | 1 | Oral | 0.75 MG | 0 | .25 | MG | TABLET | |||||||
| 126528992 | 12652899 | 11 | C | FOLIC ACID. | FOLIC ACID | 1 | Oral | 1 MG | 0 | 1 | MG | TABLET | QD | ||||||
| 126528992 | 12652899 | 12 | C | MUCINEX | GUAIFENESIN | 1 | Oral | 1200 MG | 0 | 600 | MG | TABLET | BID | ||||||
| 126528992 | 12652899 | 13 | C | MONELUKAST | 2 | Oral | 10 MG | 0 | 10 | MG | TABLET | QD | |||||||
| 126528992 | 12652899 | 14 | C | ALBUTEROL SULFATE. | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | STRENGTH: 0.083 PERCENT; | 0 | ORAL SOLUTION | |||||||||
| 126528992 | 12652899 | 15 | C | PROAIR HFA | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | 0 | NEBULISER LIQUID | ||||||||||
| 126528992 | 12652899 | 16 | C | IOPHEN C NR | CODEINE PHOSPHATEGUAIFENESIN | 1 | Oral | STRENGTH: 10MG/100 MG/5ML; | 0 | NEBULISER LIQUID | |||||||||
| 126528992 | 12652899 | 17 | C | PRAVASTATIN. | PRAVASTATIN | 1 | Oral | 40 MG | 0 | 40 | MG | TABLET | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126528992 | 12652899 | 1 | Asthma |
| 126528992 | 12652899 | 2 | Asthma |
| 126528992 | 12652899 | 3 | Hypothyroidism |
| 126528992 | 12652899 | 4 | Gastrooesophageal reflux disease |
| 126528992 | 12652899 | 5 | Product used for unknown indication |
| 126528992 | 12652899 | 6 | Product used for unknown indication |
| 126528992 | 12652899 | 7 | Diabetes mellitus |
| 126528992 | 12652899 | 8 | Diabetes mellitus |
| 126528992 | 12652899 | 9 | Product used for unknown indication |
| 126528992 | 12652899 | 10 | Anxiety |
| 126528992 | 12652899 | 11 | Product used for unknown indication |
| 126528992 | 12652899 | 12 | Asthma |
| 126528992 | 12652899 | 13 | Asthma |
| 126528992 | 12652899 | 14 | Asthma |
| 126528992 | 12652899 | 15 | Asthma |
| 126528992 | 12652899 | 16 | Cough |
| 126528992 | 12652899 | 17 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126528992 | 12652899 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126528992 | 12652899 | Asthma | |
| 126528992 | 12652899 | Myocardial infarction | |
| 126528992 | 12652899 | Off label use | |
| 126528992 | 12652899 | Peripheral arthritis | |
| 126528992 | 12652899 | Product quality issue | |
| 126528992 | 12652899 | Productive cough |
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 |
|---|---|---|---|---|---|---|
| 126528992 | 12652899 | 1 | 20141018 | 0 | ||
| 126528992 | 12652899 | 10 | 2002 | 0 | ||
| 126528992 | 12652899 | 17 | 201603 | 0 |