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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127186552 | 12718655 | 2 | F | 201304 | 20160905 | 20160906 | 20160909 | EXP | CH-GLAXOSMITHKLINE-CH2016GSK128489 | GLAXOSMITHKLINE | 67.05 | YR | F | Y | 0.00000 | 20160909 | PH | CH | CH |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127186552 | 12718655 | 1 | PS | VENTOLIN | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | UNK | Y | 20983 | |||||||||
| 127186552 | 12718655 | 2 | C | Deroxat | PAROXETINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 127186552 | 12718655 | 3 | C | DAFALGAN | ACETAMINOPHEN | 1 | 0 | ||||||||||||
| 127186552 | 12718655 | 4 | C | XANAX | ALPRAZOLAM | 1 | 0 | ||||||||||||
| 127186552 | 12718655 | 5 | C | Hova | HOPSVALERIAN | 1 | 0 | ||||||||||||
| 127186552 | 12718655 | 6 | C | IMODIUM | LOPERAMIDE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 127186552 | 12718655 | 7 | C | PANTOZOL | PANTOPRAZOLE SODIUM | 1 | 0 | ||||||||||||
| 127186552 | 12718655 | 8 | C | TIROSINT | LEVOTHYROXINE SODIUM | 1 | 0 | ||||||||||||
| 127186552 | 12718655 | 9 | C | JANUVIA | SITAGLIPTIN PHOSPHATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127186552 | 12718655 | 1 | Bronchitis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127186552 | 12718655 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127186552 | 12718655 | Angioedema | |
| 127186552 | 12718655 | Dyspnoea |
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 |
|---|---|---|---|---|---|---|
| 127186552 | 12718655 | 1 | 201304 | 0 |