<?xml version="1.0" encoding="UTF-8"?>
<adverse_event_case case_number="6340519">
  <adverse_event_report>
    <yyqq>07Q2</yyqq>
    <isr>5367755</isr>
    <initial_followup_code>I</initial_followup_code>
    <followup_sequence></followup_sequence>
    <image>5367755-3</image>
    <event_date>2007-01-01</event_date>
    <manufacturer_date>2007-03-08</manufacturer_date>
    <fda_date>2007-06-22</fda_date>
    <report_code>PER</report_code>
    <manufacturer_number>US-ASTRAZENECA-2007UW04565</manufacturer_number>
    <manufacturer_sending>AZPRODUW00</manufacturer_sending>
    <age>7.0</age>
    <age_units>YR</age_units>
    <gender>M</gender>
    <is_electronic_submission>true</is_electronic_submission>
    <weight>24.0</weight>
    <weight_units>KG</weight_units>
    <report_date>2007-06-22</report_date>
    <reporter_occupation>CN</reporter_occupation>
    <death_date></death_date>
    <manufacturer_notified>false</manufacturer_notified>
    <confidentiality_status>false</confidentiality_status>
    <reporter_country>UNITED STATES</reporter_country>
    <reaction reaction_preferred_term="OVERDOSE"/>
    <reaction reaction_preferred_term="SKIN DISORDER"/>
    <drug_datum>
      <drug_sequence>1008622227</drug_sequence>
      <role_code>PS</role_code>
      <drug_name>PULMICORT RESPULES</drug_name>
      <validated_or_verbatim>1</validated_or_verbatim>
      <administration_route>RESPIRATORY (INHALATION)</administration_route>
      <dechallenge_code></dechallenge_code>
      <rechallenge_code></rechallenge_code>
      <lot_number></lot_number>
      <expiration_date></expiration_date>
      <nda_number>020929</nda_number>
      <drug_indication indication_preferred_term="BRONCHIAL HYPERREACTIVITY
"/>
    </drug_datum>
    <drug_datum>
      <drug_sequence>1008622228</drug_sequence>
      <role_code>C</role_code>
      <drug_name>XOPENEX</drug_name>
      <validated_or_verbatim>1</validated_or_verbatim>
      <administration_route></administration_route>
      <dechallenge_code></dechallenge_code>
      <rechallenge_code></rechallenge_code>
      <lot_number></lot_number>
      <expiration_date></expiration_date>
      <nda_number></nda_number>
    </drug_datum>
    <drug_datum>
      <drug_sequence>1008622229</drug_sequence>
      <role_code>C</role_code>
      <drug_name>FORADIL</drug_name>
      <validated_or_verbatim>1</validated_or_verbatim>
      <administration_route></administration_route>
      <dechallenge_code></dechallenge_code>
      <rechallenge_code></rechallenge_code>
      <lot_number></lot_number>
      <expiration_date></expiration_date>
      <nda_number></nda_number>
    </drug_datum>
  </adverse_event_report>
</adverse_event_case>
