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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 113704684 | 11370468 | 4 | F | 201506 | 20160912 | 20150812 | 20160920 | PER | US-ELI_LILLY_AND_COMPANY-US201508002995 | ELI LILLY AND CO | 78.32 | YR | M | Y | 0.00000 | 20160920 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 113704684 | 11370468 | 1 | PS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 10 U, UNK | C345252A | 20563 | 10 | IU | INJECTION | ||||||
| 113704684 | 11370468 | 2 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 20 U, PRN | C384742C | 20563 | 20 | IU | INJECTION | ||||||
| 113704684 | 11370468 | 3 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | UNK UNK, UNKNOWN | C433626D | 20563 | INJECTION | ||||||||
| 113704684 | 11370468 | 4 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | UNK, ON A SLIDING SCALE | C540784G | 20563 | INJECTION | ||||||||
| 113704684 | 11370468 | 5 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | 750 MG, BID | U | 0 | 750 | MG | BID | |||||||
| 113704684 | 11370468 | 6 | C | GLUCOSAMINE | GLUCOSAMINE | 1 | 2 DF, QD | U | 0 | 2 | DF | QD | |||||||
| 113704684 | 11370468 | 7 | C | LISINOPRIL. | LISINOPRIL | 1 | 40 MG, UNK | U | 0 | 40 | MG | ||||||||
| 113704684 | 11370468 | 8 | C | DIGOXIN. | DIGOXIN | 1 | 1.25 MG, UNK | U | 0 | 1.25 | MG | ||||||||
| 113704684 | 11370468 | 9 | C | SIMVASTATIN. | SIMVASTATIN | 1 | 20 MG, QD | U | 0 | 20 | MG | QD | |||||||
| 113704684 | 11370468 | 10 | C | SOTALOL. | SOTALOL | 1 | 80 MG, UNK | U | 0 | 80 | MG | ||||||||
| 113704684 | 11370468 | 11 | C | HYDROCHLOROTHIAZIDE. | HYDROCHLOROTHIAZIDE | 1 | 1.25 MG, UNK | U | 0 | 1.25 | MG | ||||||||
| 113704684 | 11370468 | 12 | C | CENTRUM SILVER /02363801/ | MINERALSVITAMINS | 1 | U | 0 | |||||||||||
| 113704684 | 11370468 | 13 | C | FISH OIL | FISH OIL | 1 | 1400 MG, TID | U | 0 | 1400 | MG | TID | |||||||
| 113704684 | 11370468 | 14 | C | BABY ASPIRIN | ASPIRIN | 1 | 81 MG, QD | U | 0 | 81 | MG | QD | |||||||
| 113704684 | 11370468 | 15 | C | INSULIN GLARGINE | INSULIN GLARGINE | 1 | UNKNOWN | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 113704684 | 11370468 | 1 | Type 2 diabetes mellitus |
| 113704684 | 11370468 | 5 | Product used for unknown indication |
| 113704684 | 11370468 | 6 | Product used for unknown indication |
| 113704684 | 11370468 | 7 | Product used for unknown indication |
| 113704684 | 11370468 | 8 | Product used for unknown indication |
| 113704684 | 11370468 | 9 | Product used for unknown indication |
| 113704684 | 11370468 | 10 | Product used for unknown indication |
| 113704684 | 11370468 | 11 | Product used for unknown indication |
| 113704684 | 11370468 | 12 | Product used for unknown indication |
| 113704684 | 11370468 | 13 | Product used for unknown indication |
| 113704684 | 11370468 | 14 | Product used for unknown indication |
| 113704684 | 11370468 | 15 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 113704684 | 11370468 | Amnesia | |
| 113704684 | 11370468 | Blood glucose increased | |
| 113704684 | 11370468 | Incorrect dose administered | |
| 113704684 | 11370468 | Underdose |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 113704684 | 11370468 | 1 | 20150528 | 0 |