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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127377671 | 12737767 | 1 | I | 20160909 | 0 | 20160912 | 20160912 | DIR | US-FDA-350361 | FDA-CTU | 8.00 | YR | M | N | 23.85000 | KG | 20160912 | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127377671 | 12737767 | 1 | PS | SINGULAIR | MONTELUKAST SODIUM | 1 | Oral | 0 | |||||||||||
| 127377671 | 12737767 | 3 | C | FLOVENT | FLUTICASONE PROPIONATE | 1 | 0 | ||||||||||||
| 127377671 | 12737767 | 5 | C | SINGULAIR | MONTELUKAST SODIUM | 1 | 0 | ||||||||||||
| 127377671 | 12737767 | 7 | C | OTC | UNSPECIFIED INGREDIENT | 1 | 0 | ||||||||||||
| 127377671 | 12737767 | 9 | C | PROAIR HFA | ALBUTEROL SULFATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127377671 | 12737767 | 1 | Asthma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127377671 | 12737767 | OT |
| 127377671 | 12737767 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127377671 | 12737767 | Abnormal behaviour | |
| 127377671 | 12737767 | Anxiety | |
| 127377671 | 12737767 | Disturbance in attention | |
| 127377671 | 12737767 | Fear | |
| 127377671 | 12737767 | Fear of death | |
| 127377671 | 12737767 | Learning disorder | |
| 127377671 | 12737767 | Memory impairment | |
| 127377671 | 12737767 | Nervousness | |
| 127377671 | 12737767 | Nightmare |
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 |
|---|---|---|---|---|---|---|
| 127377671 | 12737767 | 1 | 20131023 | 20160908 | 0 |