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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127710271 | 12771027 | 1 | I | 201509 | 20160920 | 20160922 | 20160922 | PER | US-GLAXOSMITHKLINE-US2016137867 | GLAXOSMITHKLINE | 63.31 | YR | M | Y | 0.00000 | 20160922 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127710271 | 12771027 | 1 | PS | SEREVENT DISKUS | SALMETEROL XINAFOATE | 1 | Respiratory (inhalation) | 1 PUFF(S), QD | 5ZP1254 | 20692 | 1 | DF | INHALATION POWDER | QD | |||||
| 127710271 | 12771027 | 2 | C | FORADIL | FORMOTEROL FUMARATE | 1 | 0 | ||||||||||||
| 127710271 | 12771027 | 3 | C | HYDROCHLOROTHIAZIDE. | HYDROCHLOROTHIAZIDE | 1 | 0 | ||||||||||||
| 127710271 | 12771027 | 4 | C | PROAIR HFA | ALBUTEROL SULFATE | 1 | 0 | ||||||||||||
| 127710271 | 12771027 | 5 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127710271 | 12771027 | 1 | Chronic obstructive pulmonary disease |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127710271 | 12771027 | Drug ineffective | |
| 127710271 | 12771027 | Extra dose administered | |
| 127710271 | 12771027 | Underdose |
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 |
|---|---|---|---|---|---|---|
| 127710271 | 12771027 | 1 | 201509 | 0 |