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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 95308312 | 9530831 | 2 | F | 201209 | 20160715 | 20130918 | 20160722 | EXP | CA-009507513-1309CAN006040 | MERCK | 51.00 | YR | F | Y | 133.00000 | KG | 20160722 | OT | CA | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 95308312 | 9530831 | 1 | PS | SINGULAIR | MONTELUKAST SODIUM | 1 | Oral | 10 MG, QD | Y | U | 20829 | 10 | MG | TABLET | QD | ||||
| 95308312 | 9530831 | 2 | C | DIOVAN HCT | HYDROCHLOROTHIAZIDEVALSARTAN | 1 | Oral | 160/12.5 MG ONCE DAILY | U | 0 | 1 | DF | QD | ||||||
| 95308312 | 9530831 | 3 | C | RHINOCORT AQUA | BUDESONIDE | 1 | 1 SPRAY EACH NOSTRIL TWICE A DAY | U | 0 | 1 | DF | BID | |||||||
| 95308312 | 9530831 | 4 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | 2 PUFFS TWICE A DAY | U | 0 | 2 | DF | POWDER | BID | ||||||
| 95308312 | 9530831 | 5 | C | VENTOLIN | ALBUTEROL SULFATE | 1 | 2 PUFFS EVERY 4 HOURS WHEN REQUIRED | U | 0 | 2 | DF |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 95308312 | 9530831 | 1 | Asthma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 95308312 | 9530831 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 95308312 | 9530831 | Abdominal pain upper | |
| 95308312 | 9530831 | Depression | |
| 95308312 | 9530831 | Hallucination, visual | |
| 95308312 | 9530831 | Insomnia | |
| 95308312 | 9530831 | Nightmare | |
| 95308312 | 9530831 | Tearfulness |
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 |
|---|---|---|---|---|---|---|
| 95308312 | 9530831 | 1 | 20120910 | 20121003 | 0 | |
| 95308312 | 9530831 | 2 | 20120920 | 0 | ||
| 95308312 | 9530831 | 3 | 201204 | 0 | ||
| 95308312 | 9530831 | 4 | 201201 | 0 |