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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127219961 | 12721996 | 1 | I | 201608 | 20160902 | 20160907 | 20160907 | PER | US-GLAXOSMITHKLINE-US2016128682 | GLAXOSMITHKLINE | 56.99 | YR | M | Y | 0.00000 | 20160907 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127219961 | 12721996 | 1 | PS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | Respiratory (inhalation) | 2 PUFF(S), PRN | TW7X | 20983 | 2 | DF | |||||||
| 127219961 | 12721996 | 2 | SS | VENTOLIN HFA | ALBUTEROL SULFATE | 1 | 20983 | ||||||||||||
| 127219961 | 12721996 | 3 | C | ATENOLOL. | ATENOLOL | 1 | 0 | ||||||||||||
| 127219961 | 12721996 | 4 | C | HYDROCODONE | HYDROCODONE | 1 | 0 | ||||||||||||
| 127219961 | 12721996 | 5 | C | KLONOPIN | CLONAZEPAM | 1 | 0 | ||||||||||||
| 127219961 | 12721996 | 6 | C | LISINOPRIL. | LISINOPRIL | 1 | 0 | ||||||||||||
| 127219961 | 12721996 | 7 | C | NEURONTIN | GABAPENTIN | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127219961 | 12721996 | 1 | Pulmonary congestion |
| 127219961 | 12721996 | 2 | Dyspnoea |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127219961 | 12721996 | Amphetamines positive | |
| 127219961 | 12721996 | 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 |
|---|---|---|---|---|---|---|
| 127219961 | 12721996 | 1 | 201604 | 0 |