Person who experienced the adverse event (patient)
| Event ID | CASEID | CASEVERSION | I F COD | EVENT DT | MFR DT | INIT FDA DT | FDA DT | REPT COD | AUTH NUM | MFR NUM | MFR SNDR | LIT REF | AGE | AGE COD | AGE GRP | GNDR COD | E SUB | WT | WT COD | REPT DT | TO MFR | OCCP COD | REPORTER COUNTRY | OCCR COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 107391003 | 10739100 | 3 | F | 201501 | 20160630 | 20150126 | 20160719 | PER | US-ELI_LILLY_AND_COMPANY-US201501006455 | ELI LILLY AND CO | 70.11 | YR | F | Y | 0.00000 | 20160719 | OT | US | US |
Drug(s) used by person
| Event ID | CASEID | DRUG SEQ | ROLE COD | DRUGNAME | PROD AI | VAL VBM | ROUTE | DOSE VBM | CUM DOSE CHR | CUM DOSE UNIT | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM | DOSE AMT | DOSE UNIT | DOSE FORM | DOSE FREQ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 107391003 | 10739100 | 1 | PS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 24 U, EACH MORNING | C311765D | 20563 | 24 | IU | INJECTION | QD | |||||
| 107391003 | 10739100 | 2 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 22 U, EACH EVENING | C311765D | 20563 | 22 | IU | INJECTION | QD | |||||
| 107391003 | 10739100 | 3 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 24 U, EACH MORNING | C310570C | 20563 | 24 | IU | INJECTION | QD | |||||
| 107391003 | 10739100 | 4 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 22 U, EACH EVENING | C310570C | 20563 | 22 | IU | INJECTION | QD | |||||
| 107391003 | 10739100 | 5 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 36 U, EACH MORNING | C467096E | 20563 | 36 | IU | INJECTION | QD | |||||
| 107391003 | 10739100 | 6 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH EVENING | C467096E | 20563 | 34 | IU | INJECTION | QD | |||||
| 107391003 | 10739100 | 7 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | UNK, OTHER | C447026H | 20563 | INJECTION | ||||||||
| 107391003 | 10739100 | 8 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | UNK, PRN | C311017A | 0 | INJECTION | ||||||||
| 107391003 | 10739100 | 9 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | UNK, PRN | C299490A | 0 | INJECTION | ||||||||
| 107391003 | 10739100 | 10 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | UNK, PRN | C292713A | 0 | INJECTION | ||||||||
| 107391003 | 10739100 | 11 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Unknown | 1 DF, QD | U | 0 | 1 | DF | TABLET | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 107391003 | 10739100 | 1 | Type 1 diabetes mellitus |
| 107391003 | 10739100 | 8 | Type 1 diabetes mellitus |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 107391003 | 10739100 | Arthritis | |
| 107391003 | 10739100 | Blood glucose increased | |
| 107391003 | 10739100 | Incorrect drug administration duration | |
| 107391003 | 10739100 | Incorrect product storage | |
| 107391003 | 10739100 | Injection site pain | |
| 107391003 | 10739100 | Malaise | |
| 107391003 | 10739100 | Nausea | |
| 107391003 | 10739100 | Wrong drug administered |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |