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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4873860 | 5938848 | F | 2 | 4873860-8 | 20051208 | 20060104 | EXP | USA050494672 | ELI LILLY AND COMPANY | 51 | YR | M | N | 62.3 | KG | 20051214 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4873860 | 1006793567 | PS | HUMALOG | 1 | AS NEEDED | D | D | 8RY10M | 20060701 | 20563 | |
| 4873860 | 1006821034 | SS | HUMULIN N | 1 | D | D | |||||
| 4873860 | 1006821035 | SS | HUMULIN R | 1 | D | D | |||||
| 4873860 | 1006821038 | SS | HUMULIN L | 1 | Y | D | |||||
| 4873860 | 1006821054 | SS | LENTE ILETIN II | 1 | D | D | |||||
| 4873860 | 1006821058 | C | LANTUS | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4873860 | 1006793567 | DIABETES MELLITUS |
| 4873860 | 1006821034 | DIABETES MELLITUS INSULIN-DEPENDENT |
| 4873860 | 1006821035 | DIABETES MELLITUS INSULIN-DEPENDENT |
| 4873860 | 1006821038 | DIABETES MELLITUS INSULIN-DEPENDENT |
| 4873860 | 1006821054 | DIABETES MELLITUS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4873860 | DS |
| 4873860 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4873860 | BLOOD GLUCOSE DECREASED |
| 4873860 | BLOOD GLUCOSE INCREASED |
| 4873860 | CONFUSIONAL STATE |
| 4873860 | CONVULSION |
| 4873860 | HYPERHIDROSIS |
| 4873860 | HYPERMETABOLISM |
| 4873860 | HYPOGLYCAEMIA |
| 4873860 | LOSS OF CONSCIOUSNESS |
| 4873860 | MOOD ALTERED |
| 4873860 | PHARMACEUTICAL PRODUCT COMPLAINT |
| 4873860 | TREMOR |
| 4873860 | WEIGHT GAIN POOR |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4873860 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4873860 | 1006793567 | 20030101 | |||
| 4873860 | 1006821034 | 19990101 | 20010101 | ||
| 4873860 | 1006821035 | 19990101 | 20020101 | ||
| 4873860 | 1006821054 | 19680101 | 19990101 |