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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5381301 | 6405231 | I | 5381301-X | 20060101 | 20061212 | 20070629 | PER | US200611004923 | ELI LILLY AND COMPANY | 79 | YR | M | N | 20070509 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5381301 | 1008674563 | PS | HUMALOG MIX 50/50 | 1 | D | D | 0RA65M | 20071101 | 20563 | ||
| 5381301 | 1008782121 | SS | HUMULIN 70/30 | 1 | D | D |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5381301 | 1008674563 | DIABETES MELLITUS |
| 5381301 | 1008782121 | DIABETES MELLITUS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5381301 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 5381301 | BLOOD GLUCOSE FLUCTUATION |
| 5381301 | BLOOD GLUCOSE INCREASED |
| 5381301 | DEAFNESS UNILATERAL |
| 5381301 | EAR INFECTION |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5381301 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5381301 | 1008674563 | 20060301 | |||
| 5381301 | 1008782121 | 20060301 |