Person who experienced the adverse event (patient)
| Event ID | CASE | I F COD | FOLL SEQ | IMAGE | EVENT DT | MFR DT | FDA DT | REPT COD | MFR NUM | MFR SNDR | AGE | AGE COD | GNDR COD | E SUB | WT | WT COD | REPT DT | OCCP COD | DEATH DT | TO MFR | CONFID | REPORTER COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4330776 | 4120984 | I | 4330776-3 | 20030901 | 20040316 | 20040331 | EXP | US_020181028 | ELI LILLY AND COMPANY | 56 | YR | M | N | 20040324 |
Drug(s) used by person
| Event ID | DRUG SEQ | ROLE COD | DRUGNAME | VAL VBM | ROUTE | DOSE VBM | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4330776 | 1004757071 | PS | HUMALOG | 1 | D | 5MH75M | 20030601 | 20563 | |||
| 4330776 | 1004766295 | SS | HUMULIN N | 1 | 75 U/DAY | D | 5NA90N | 20031101 | |||
| 4330776 | 1004766296 | C | FENTANYL | 1 | |||||||
| 4330776 | 1004766298 | C | LANTUS | 1 | |||||||
| 4330776 | 1004766299 | C | GLUCOVANCE | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4330776 | 1004757071 | DIABETES MELLITUS |
| 4330776 | 1004766295 | DIABETES MELLITUS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4330776 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4330776 | AMNESIA |
| 4330776 | BLOOD GLUCOSE DECREASED |
| 4330776 | BLOOD GLUCOSE INCREASED |
| 4330776 | CORONARY ARTERY SURGERY |
| 4330776 | DIABETIC FOOT |
| 4330776 | FLUID RETENTION |
| 4330776 | HYPERHIDROSIS |
| 4330776 | MYOCARDIAL INFARCTION |
| 4330776 | PAIN |
| 4330776 | PHARMACEUTICAL PRODUCT COMPLAINT |
| 4330776 | SPINAL CORD INJURY |
| 4330776 | THYROID DISORDER |
| 4330776 | TREMOR |
| 4330776 | WEIGHT INCREASED |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4330776 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4330776 | 1004757071 | 20030901 | |||
| 4330776 | 1004766295 | 20000101 | 20030901 |