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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127034812 | 12703481 | 2 | F | 20160715 | 20160728 | 20160831 | 20160923 | PER | US-TEVA-680949USA | TEVA | 62.72 | YR | F | Y | 87.62000 | KG | 20160923 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127034812 | 12703481 | 1 | PS | PROAIR HFA | ALBUTEROL SULFATE | 1 | U | DAC28A | 21457 | 90 | UG | ||||||||
| 127034812 | 12703481 | 2 | SS | PROVENTIL HFA | ALBUTEROL SULFATE | 1 | Unknown | 0 | |||||||||||
| 127034812 | 12703481 | 3 | C | LISINOPRIL. | LISINOPRIL | 1 | 0 | ||||||||||||
| 127034812 | 12703481 | 4 | C | ESTRADIOL. | ESTRADIOL | 1 | 0 | ||||||||||||
| 127034812 | 12703481 | 5 | C | FUROSEMIDE. | FUROSEMIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127034812 | 12703481 | 1 | Bronchospasm |
| 127034812 | 12703481 | 3 | Supplementation therapy |
| 127034812 | 12703481 | 4 | Hormone replacement therapy |
| 127034812 | 12703481 | 5 | Fluid retention |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127034812 | 12703481 | Cough | |
| 127034812 | 12703481 | Dysgeusia | |
| 127034812 | 12703481 | Hypoaesthesia oral | |
| 127034812 | 12703481 | Nasal congestion | |
| 127034812 | 12703481 | Product taste abnormal |
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 |
|---|---|---|---|---|---|---|
| 127034812 | 12703481 | 1 | 20160715 | 0 | ||
| 127034812 | 12703481 | 2 | 20160726 | 0 |