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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126649421 | 12664942 | 1 | I | 201608 | 20160811 | 20160818 | 20160818 | PER | US-009507513-1608USA007168 | MERCK | 42.00 | YR | F | Y | 0.00000 | 20160818 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126649421 | 12664942 | 1 | PS | PROVENTIL | ALBUTEROL | 1 | UNK | U | 20503 | INHALATION POWDER | |||||||||
| 126649421 | 12664942 | 2 | C | FORADIL | FORMOTEROL FUMARATE | 1 | Respiratory (inhalation) | 12 MICROGRAM, BID | 0 | 12 | UG | BID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126649421 | 12664942 | 1 | Asthma |
| 126649421 | 12664942 | 2 | Asthma |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126649421 | 12664942 | Drug ineffective | |
| 126649421 | 12664942 | Feeling abnormal | |
| 126649421 | 12664942 | Feeling jittery | |
| 126649421 | 12664942 | Nervousness | |
| 126649421 | 12664942 | Quality of life decreased |
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 |
|---|---|---|---|---|---|---|
| 126649421 | 12664942 | 1 | 201608 | 0 |