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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127030971 | 12703097 | 1 | I | 201505 | 20160824 | 20160831 | 20160831 | PER | US-GLAXOSMITHKLINE-US2016123655 | GLAXOSMITHKLINE | 47.57 | YR | F | Y | 0.00000 | 20160831 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127030971 | 12703097 | 1 | PS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | 1 PUFF(S), PRN | 20983 | 1 | DF | |||||||||
| 127030971 | 12703097 | 2 | SS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | 2 PUFF(S), PRN | 20983 | 2 | DF | |||||||||
| 127030971 | 12703097 | 3 | C | MONTELUKAST | MONTELUKAST SODIUM | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127030971 | 12703097 | 1 | Dyspnoea |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127030971 | 12703097 | Asthma | |
| 127030971 | 12703097 | Bronchitis | |
| 127030971 | 12703097 | Cough | |
| 127030971 | 12703097 | Drug ineffective | |
| 127030971 | 12703097 | Product cleaning inadequate | |
| 127030971 | 12703097 | Treatment noncompliance |
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 |
|---|---|---|---|---|---|---|
| 127030971 | 12703097 | 1 | 2015 | 0 |