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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126872591 | 12687259 | 1 | I | 20160805 | 20160811 | 20160825 | 20160825 | PER | US-GLAXOSMITHKLINE-US2016116869 | GLAXOSMITHKLINE | 42.00 | YR | F | Y | 0.00000 | 20160825 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126872591 | 12687259 | 1 | PS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | UNK | WS38 | 20983 | |||||||||
| 126872591 | 12687259 | 2 | SS | FLOVENT | FLUTICASONE PROPIONATE | 1 | UNK | W59P | 0 | ||||||||||
| 126872591 | 12687259 | 3 | C | CELEBREX | CELECOXIB | 1 | 0 | ||||||||||||
| 126872591 | 12687259 | 4 | C | FLONASE | FLUTICASONE PROPIONATE | 1 | 0 | ||||||||||||
| 126872591 | 12687259 | 5 | C | NEXIUM | ESOMEPRAZOLE MAGNESIUM | 1 | 0 | ||||||||||||
| 126872591 | 12687259 | 6 | C | NOVOLIN | INSULIN HUMAN | 1 | 0 | ||||||||||||
| 126872591 | 12687259 | 7 | C | NOVOLOG | INSULIN ASPART | 1 | 0 | ||||||||||||
| 126872591 | 12687259 | 8 | C | VESICARE | SOLIFENACIN SUCCINATE | 1 | 0 | ||||||||||||
| 126872591 | 12687259 | 9 | C | SIMVASTATIN. | SIMVASTATIN | 1 | 0 | ||||||||||||
| 126872591 | 12687259 | 10 | C | TIZANIDINE. | TIZANIDINE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126872591 | 12687259 | 1 | Asthma |
| 126872591 | 12687259 | 2 | Asthma |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126872591 | 12687259 | Drug screen positive | |
| 126872591 | 12687259 | Inappropriate schedule of drug administration | |
| 126872591 | 12687259 | Underdose |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |