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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127075191 | 12707519 | 1 | I | 20160814 | 20160822 | 20160901 | 20160901 | PER | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-54954BP | BOEHRINGER INGELHEIM | 50.95 | YR | F | Y | 0.00000 | 20160901 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127075191 | 12707519 | 1 | PS | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Respiratory (inhalation) | 2.5 MCG | 21395 | 2.5 | UG | PRESSURISED INHALATION | QD | ||||||
| 127075191 | 12707519 | 2 | C | VENTOLIN | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | 0 | NEBULISER LIQUID | ||||||||||
| 127075191 | 12707519 | 3 | C | ALBUTEROL. | ALBUTEROL | 1 | Respiratory (inhalation) | FORMULATION: INHALATION SOLUTION NEBULIZER | 0 | ||||||||||
| 127075191 | 12707519 | 4 | C | Levocetirizine | LEVOCETIRIZINE | 1 | Oral | 5 MG | 0 | 5 | MG | TABLET | QD | ||||||
| 127075191 | 12707519 | 5 | C | SINGULAIR | MONTELUKAST SODIUM | 1 | Oral | 10 MG | 0 | 10 | MG | TABLET | QD | ||||||
| 127075191 | 12707519 | 6 | C | NASONEX | MOMETASONE FUROATE | 1 | Nasal | 1 ANZ | 0 | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127075191 | 12707519 | 1 | Asthma |
| 127075191 | 12707519 | 2 | Asthma |
| 127075191 | 12707519 | 3 | Asthma |
| 127075191 | 12707519 | 4 | Asthma |
| 127075191 | 12707519 | 5 | Asthma |
| 127075191 | 12707519 | 6 | Asthma |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127075191 | 12707519 | Asthma |
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 |
|---|---|---|---|---|---|---|
| 127075191 | 12707519 | 1 | 201607 | 0 |