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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
115535484 | 11553548 | 4 | F | 201508 | 20160810 | 20150903 | 20160815 | PER | US-ELI_LILLY_AND_COMPANY-US201007000970 | ELI LILLY AND CO | 60.98 | YR | M | Y | 0.00000 | 20160815 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
115535484 | 11553548 | 1 | PS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 18 U, EACH MORNING | 20563 | 18 | IU | INJECTION | QD | ||||||
115535484 | 11553548 | 2 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 20 U, EACH EVENING | 20563 | 20 | IU | INJECTION | QD | ||||||
115535484 | 11553548 | 3 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH MORNING | C499509K | 20563 | 34 | IU | INJECTION | QD | |||||
115535484 | 11553548 | 4 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH EVENING | C499509K | 20563 | 34 | IU | INJECTION | QD | |||||
115535484 | 11553548 | 5 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH MORNING | C381955K | 20563 | 34 | IU | INJECTION | QD | |||||
115535484 | 11553548 | 6 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH EVENING | C381955K | 20563 | 34 | IU | INJECTION | QD | |||||
115535484 | 11553548 | 7 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH MORNING | C255553G | 20563 | 34 | IU | INJECTION | QD | |||||
115535484 | 11553548 | 8 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH EVENING | C255553G | 20563 | 34 | IU | INJECTION | QD | |||||
115535484 | 11553548 | 9 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH MORNING | C231009E | 20563 | 34 | IU | INJECTION | QD | |||||
115535484 | 11553548 | 10 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH EVENING | C231009E | 20563 | 34 | IU | INJECTION | QD | |||||
115535484 | 11553548 | 11 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH MORNING | C215076C | 20563 | 34 | IU | INJECTION | QD | |||||
115535484 | 11553548 | 12 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH EVENING | C215076C | 20563 | 34 | IU | INJECTION | QD | |||||
115535484 | 11553548 | 13 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH MORNING | C187012D | 20563 | 34 | IU | INJECTION | QD | |||||
115535484 | 11553548 | 14 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH EVENING | C187012D | 20563 | 34 | IU | INJECTION | QD | |||||
115535484 | 11553548 | 15 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH MORNING | C276682D | 20563 | 34 | IU | INJECTION | QD | |||||
115535484 | 11553548 | 16 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH EVENING | C276682D | 20563 | 34 | IU | INJECTION | QD | |||||
115535484 | 11553548 | 17 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH MORNING | C231006G | 20563 | 34 | IU | INJECTION | QD | |||||
115535484 | 11553548 | 18 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH EVENING | C231006G | 20563 | 34 | IU | INJECTION | QD | |||||
115535484 | 11553548 | 19 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH MORNING | C217104E | 20563 | 34 | IU | INJECTION | QD | |||||
115535484 | 11553548 | 20 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 34 U, EACH EVENING | C217104E | 20563 | 34 | IU | INJECTION | QD |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
115535484 | 11553548 | 1 | Diabetes mellitus |
115535484 | 11553548 | 2 | Type 2 diabetes mellitus |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
115535484 | 11553548 | Expired product administered | |
115535484 | 11553548 | Photophobia | |
115535484 | 11553548 | Visual impairment |
Reporting Sources (this data is often not reported and may therefore be missing here)
no results found |
Therapies reported
no results found |