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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126797052 | 12679705 | 2 | F | 20160802 | 20160830 | 20160824 | 20160907 | EXP | CA-ROCHE-1818957 | ROCHE | 66.04 | YR | M | Y | 0.00000 | 20160907 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126797052 | 12679705 | 1 | PS | XOLAIR | OMALIZUMAB | 1 | Subcutaneous | 150 MG, EVERY 4 WEEKS | U | 103976 | 150 | MG | SOLUTION FOR INJECTION | ||||||
| 126797052 | 12679705 | 2 | SS | METOPROLOL. | METOPROLOL | 1 | Unknown | 50 MG, BID | 0 | 50 | MG | BID | |||||||
| 126797052 | 12679705 | 3 | SS | METOPROLOL. | METOPROLOL | 1 | Subcutaneous | 37 MG, BID (DOSE DECREASE FROM 100 MG TO 75 MG) | 0 | 37 | MG | BID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126797052 | 12679705 | 1 | Asthma |
| 126797052 | 12679705 | 2 | Atrial fibrillation |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126797052 | 12679705 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126797052 | 12679705 | Atrial fibrillation | |
| 126797052 | 12679705 | Dyspnoea | |
| 126797052 | 12679705 | Forced expiratory volume decreased | |
| 126797052 | 12679705 | Hypopnoea |
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 |
|---|---|---|---|---|---|---|
| 126797052 | 12679705 | 1 | 20140319 | 0 | ||
| 126797052 | 12679705 | 2 | 2016 | 0 |