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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 114116993 | 11411699 | 3 | F | 20160715 | 20150821 | 20160727 | PER | US-ELI_LILLY_AND_COMPANY-US201111003693 | ELI LILLY AND CO | 0.00 | F | Y | 0.00000 | 20160727 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 114116993 | 11411699 | 1 | PS | HUMULIN R | INSULIN HUMAN | 1 | Unknown | 20 U, PRN | 18780 | 20 | IU | INJECTION | |||||||
| 114116993 | 11411699 | 2 | SS | HUMULIN R | INSULIN HUMAN | 1 | Unknown | 40 U, PRN | 18780 | 40 | IU | INJECTION | |||||||
| 114116993 | 11411699 | 3 | SS | HUMULIN R | INSULIN HUMAN | 1 | 60 U, PRN | 18780 | 60 | IU | INJECTION | ||||||||
| 114116993 | 11411699 | 4 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | UNK UNK, UNKNOWN | Y | A777616M | 0 | INJECTION | |||||||
| 114116993 | 11411699 | 5 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | UNK UNK, UNKNOWN | Y | A796132A | 0 | INJECTION | |||||||
| 114116993 | 11411699 | 6 | SS | HUMULIN 70/30 | INSULIN HUMAN | 1 | Unknown | 92 U, EACH MORNING | C471463L | 0 | 92 | IU | INJECTION | QD | |||||
| 114116993 | 11411699 | 7 | SS | HUMULIN 70/30 | INSULIN HUMAN | 1 | Unknown | 50 U, EACH LUNCH | C471463L | 0 | 50 | IU | INJECTION | ||||||
| 114116993 | 11411699 | 8 | SS | HUMULIN 70/30 | INSULIN HUMAN | 1 | Unknown | 42 U, EACH EVENING | C471463L | 0 | 42 | IU | INJECTION | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 114116993 | 11411699 | 1 | Type 2 diabetes mellitus |
| 114116993 | 11411699 | 4 | Type 2 diabetes mellitus |
| 114116993 | 11411699 | 6 | Type 2 diabetes mellitus |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 114116993 | 11411699 | Blood glucose increased | |
| 114116993 | 11411699 | Dry skin | |
| 114116993 | 11411699 | Intercepted drug dispensing error | |
| 114116993 | 11411699 | Rash | |
| 114116993 | 11411699 | Visual acuity reduced |
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 |
|---|---|---|---|---|---|---|
| 114116993 | 11411699 | 1 | 2006 | 0 | ||
| 114116993 | 11411699 | 2 | 2006 | 0 | ||
| 114116993 | 11411699 | 3 | 2006 | 0 | ||
| 114116993 | 11411699 | 4 | 201601 | 201604 | 0 | |
| 114116993 | 11411699 | 5 | 201601 | 201604 | 0 | |
| 114116993 | 11411699 | 6 | 201604 | 0 | ||
| 114116993 | 11411699 | 7 | 201604 | 0 | ||
| 114116993 | 11411699 | 8 | 201604 | 0 |