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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100258472 | 10025847 | 2 | F | 201403 | 20150325 | 20140320 | 20150331 | EXP | SE-MPA-2014-001915 | SE-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2014-BI-11592SW | BOEHRINGER INGELHEIM | 58.00 | YR | M | Y | 0.00000 | 20150331 | N | MD | SE | SE |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100258472 | 10025847 | 1 | PS | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | UNKNOWN | FORMULATION: INHALATION POWDER, HARD CAPSULE | D | 21395 | |||||||||
| 100258472 | 10025847 | 2 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | UNKNOWN | FORMULATION: INHALATIONS POWDER | D | 0 | |||||||||
| 100258472 | 10025847 | 3 | C | PREDNISOLONE. | PREDNISOLONE | 1 | UNKNOWN | D | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 100258472 | 10025847 | 1 | Product used for unknown indication |
| 100258472 | 10025847 | 2 | Product used for unknown indication |
| 100258472 | 10025847 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 100258472 | 10025847 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 100258472 | 10025847 | Bronchospasm | |
| 100258472 | 10025847 | Dyspnoea |
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 |
|---|---|---|---|---|---|---|
| 100258472 | 10025847 | 1 | 201403 | 0 |