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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126921381 | 12692138 | 1 | I | 20160804 | 20160818 | 20160827 | 20160827 | PER | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-54318BP | BOEHRINGER INGELHEIM | 82.93 | YR | F | Y | 0.00000 | 20160828 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126921381 | 12692138 | 1 | PS | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Respiratory (inhalation) | 10 MCG | 4D6066 | 21936 | 5 | UG | PRESSURISED INHALATION | BID | |||||
| 126921381 | 12692138 | 2 | C | QVAR | BECLOMETHASONE DIPROPIONATE | 1 | Respiratory (inhalation) | 0 | 80 | UG | ORAL SOLUTION | ||||||||
| 126921381 | 12692138 | 3 | C | DILTIAZEM. | DILTIAZEM | 1 | Oral | 0 | TABLET | ||||||||||
| 126921381 | 12692138 | 4 | C | CARDIZEM | DILTIAZEM HYDROCHLORIDE | 1 | Oral | 0 | TABLET | ||||||||||
| 126921381 | 12692138 | 5 | C | ACTOPLUS MET | METFORMIN HYDROCHLORIDEPIOGLITAZONE HYDROCHLORIDE | 1 | Oral | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126921381 | 12692138 | 1 | Asthma |
| 126921381 | 12692138 | 2 | Asthma |
| 126921381 | 12692138 | 3 | Hypertension |
| 126921381 | 12692138 | 4 | Hypertension |
| 126921381 | 12692138 | 5 | Diabetes mellitus |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126921381 | 12692138 | Incorrect dose administered | |
| 126921381 | 12692138 | Off label use |
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 |
|---|---|---|---|---|---|---|
| 126921381 | 12692138 | 1 | 20160804 | 0 |