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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126544993 | 12654499 | 3 | F | 2012 | 20160920 | 20160816 | 20160923 | PER | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-50861BP | BOEHRINGER INGELHEIM | 0.00 | M | Y | 0.00000 | 20160923 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126544993 | 12654499 | 1 | PS | COMBIVENT | ALBUTEROL SULFATEIPRATROPIUM BROMIDE | 1 | Respiratory (inhalation) | DOSE PER APPLICATION: 20MCG /100MCG; DAILY DOSE:120MCG/600MCG | 504737A,504177B,15L0110,15L0008 | 21747 | PRESSURISED INHALATION | ||||||||
| 126544993 | 12654499 | 2 | SS | COMBIVENT | ALBUTEROL SULFATEIPRATROPIUM BROMIDE | 1 | Respiratory (inhalation) | 2 INHALATIONS OF 18MCG/103MCG; DOSE PER APPLICATION: 36MCG/206MCG; DAILY DOSE: 216MCG/1236MCG FORMUL | Y | 21747 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126544993 | 12654499 | 1 | Chronic obstructive pulmonary disease |
| 126544993 | 12654499 | 2 | Chronic obstructive pulmonary disease |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126544993 | 12654499 | Drug ineffective | |
| 126544993 | 12654499 | Hypoacusis | |
| 126544993 | 12654499 | Memory impairment | |
| 126544993 | 12654499 | 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 |
|---|---|---|---|---|---|---|
| 126544993 | 12654499 | 1 | 2011 | 0 | ||
| 126544993 | 12654499 | 2 | 1996 | 2011 | 0 |