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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5381302 | 6377186 | I | 5381302-1 | 20040101 | 20061127 | 20070629 | PER | US200611004755 | ELI LILLY AND COMPANY | 83 | YR | F | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5381302 | 1008674564 | PS | HUMALOG | 1 | SLIDING SCALE | D | D | A227066 | 20080201 | 20563 | |
| 5381302 | 1008782130 | SS | HUMULIN N | 1 | 10 U, 2/D, 10 U, EACH EVENING | D | D | 9SA43M | 20071101 | ||
| 5381302 | 1008782132 | C | GLUCOTROL | 1 | |||||||
| 5381302 | 1008782133 | C | LANTUS | 1 | |||||||
| 5381302 | 1008782135 | C | GLUCOPHAGE | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5381302 | 1008674564 | DIABETES MELLITUS |
| 5381302 | 1008782130 | DIABETES MELLITUS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5381302 | HO |
| 5381302 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 5381302 | BLOOD GLUCOSE DECREASED |
| 5381302 | BLOOD GLUCOSE INCREASED |
| 5381302 | DEMENTIA ALZHEIMER'S TYPE |
| 5381302 | DEPRESSED LEVEL OF CONSCIOUSNESS |
| 5381302 | DIABETES MELLITUS |
| 5381302 | DIABETIC COMA |
| 5381302 | HEART RATE DECREASED |
| 5381302 | HYPERHIDROSIS |
| 5381302 | WEIGHT INCREASED |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5381302 | CSM |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5381302 | 1008674564 | 20040101 | |||
| 5381302 | 1008782130 | 20040101 |