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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4833377 | 3987074 | F | 2 | 4833377-3 | 20050927 | 20051108 | 20051117 | EXP | US_030796333 | ELI LILLY AND COMPANY | 63 | YR | M | N | 114 | KG | 20051109 | UNITED STATES |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4833377 | 1006645552 | PS | HUMULIN N | 1 | 45 U/2 DAY | D | 6SD80U | 20041101 | 18780 | ||
| 4833377 | 1006672027 | SS | HUMULIN R | 1 | D | 6SD79M | |||||
| 4833377 | 1006672028 | C | ACTOS | 1 | |||||||
| 4833377 | 1006672029 | C | ROSIGLITAZONE | 1 | |||||||
| 4833377 | 1006672030 | C | METFORMIN | 1 | |||||||
| 4833377 | 1006672031 | C | LEXAPRO | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4833377 | 1006645552 | DIABETES MELLITUS |
| 4833377 | 1006672027 | DIABETES MELLITUS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4833377 | HO |
| 4833377 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4833377 | CARDIAC FAILURE CONGESTIVE |
| 4833377 | CIRCUMSTANCE OR INFORMATION CAPABLE OF LEADING TO MEDICATION ERROR |
| 4833377 | DIABETES MELLITUS INADEQUATE CONTROL |
| 4833377 | DRUG INEFFECTIVE |
| 4833377 | LOSS OF CONSCIOUSNESS |
| 4833377 | MEDICATION ERROR |
| 4833377 | MYOCARDIAL INFARCTION |
| 4833377 | ORAL INTAKE REDUCED |
| 4833377 | PHARMACEUTICAL PRODUCT COMPLAINT |
| 4833377 | WEIGHT DECREASED |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4833377 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4833377 | 1006645552 | 19930101 |