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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127768611 | 12776861 | 1 | I | 20160829 | 20160830 | 20160923 | 20160923 | PER | US-TEVA-689758USA | TEVA | 82.34 | YR | F | Y | 90.80000 | KG | 20160924 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127768611 | 12776861 | 1 | PS | PROAIR HFA | ALBUTEROL SULFATE | 1 | U | DAC32A | 21457 | ||||||||||
| 127768611 | 12776861 | 2 | SS | PROAIR HFA | ALBUTEROL SULFATE | 1 | U | DAC32A | 21457 | ||||||||||
| 127768611 | 12776861 | 3 | C | LORAZEPAM. | LORAZEPAM | 1 | 0 | ||||||||||||
| 127768611 | 12776861 | 4 | C | LISINOPRIL. | LISINOPRIL | 1 | 0 | ||||||||||||
| 127768611 | 12776861 | 5 | C | TIMOLOL. | TIMOLOL | 1 | 0 | ||||||||||||
| 127768611 | 12776861 | 6 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127768611 | 12776861 | 1 | Bronchitis |
| 127768611 | 12776861 | 2 | Wheezing |
| 127768611 | 12776861 | 3 | Anxiety |
| 127768611 | 12776861 | 4 | Hypertension |
| 127768611 | 12776861 | 5 | Glaucoma |
| 127768611 | 12776861 | 6 | Hypothyroidism |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127768611 | 12776861 | Cough | |
| 127768611 | 12776861 | Secretion discharge |
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 |
|---|---|---|---|---|---|---|
| 127768611 | 12776861 | 1 | 20160829 | 0 |