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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127611641 | 12761164 | 1 | I | 2016 | 20160915 | 20160920 | 20160920 | EXP | FR-009507513-1609FRA008285 | MERCK | 0.00 | F | Y | 0.00000 | 20160920 | OT | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127611641 | 12761164 | 1 | PS | SINGULAIR | MONTELUKAST SODIUM | 1 | Oral | 5 MG, QD | Y | 20829 | 5 | MG | FILM-COATED TABLET | QD | |||||
| 127611641 | 12761164 | 2 | SS | SINGULAIR | MONTELUKAST SODIUM | 1 | Oral | 10 MG, QD | Y | 20829 | 10 | MG | FILM-COATED TABLET | QD | |||||
| 127611641 | 12761164 | 3 | C | SERETIDE | FLUTICASONE PROPIONATESALMETEROL XINAFOATE | 1 | UNK | 0 | |||||||||||
| 127611641 | 12761164 | 4 | C | FLIXOTIDE | FLUTICASONE PROPIONATE | 1 | UNK | 0 | |||||||||||
| 127611641 | 12761164 | 5 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | UNK | 0 | |||||||||||
| 127611641 | 12761164 | 6 | C | LEVOTHYROX | LEVOTHYROXINE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127611641 | 12761164 | 1 | Asthma |
| 127611641 | 12761164 | 3 | Asthma |
| 127611641 | 12761164 | 4 | Asthma |
| 127611641 | 12761164 | 5 | Asthma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127611641 | 12761164 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127611641 | 12761164 | Depression | |
| 127611641 | 12761164 | Intentional self-injury | |
| 127611641 | 12761164 | Suicidal ideation | |
| 127611641 | 12761164 | Suicide attempt | |
| 127611641 | 12761164 | Toxicity to various agents |
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 |
|---|---|---|---|---|---|---|
| 127611641 | 12761164 | 1 | 201303 | 201306 | 0 | |
| 127611641 | 12761164 | 2 | 201507 | 20160302 | 0 | |
| 127611641 | 12761164 | 3 | 2006 | 0 | ||
| 127611641 | 12761164 | 4 | 2006 | 0 | ||
| 127611641 | 12761164 | 5 | 2006 | 0 |