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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 117696019 | 11769601 | 9 | F | 20160915 | 20151123 | 20160927 | EXP | US-SA-2015SA056760 | AVENTIS | 63.00 | YR | A | M | Y | 0.00000 | 20160927 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 117696019 | 11769601 | 1 | PS | APIDRA SOLOSTAR | INSULIN GLULISINE | 1 | Unknown | START DATE: FEW YEARS?DOSE: SLIDING SCALE | U | 4F572A | 21629 | SOLUTION FOR INJECTION | TID | ||||||
| 117696019 | 11769601 | 2 | SS | APIDRA SOLOSTAR | INSULIN GLULISINE | 1 | Unknown | START DATE: FEW YEARS?DOSE: SLIDING SCALE | U | 4F572A | 21629 | SOLUTION FOR INJECTION | TID | ||||||
| 117696019 | 11769601 | 3 | SS | APIDRA SOLOSTAR | INSULIN GLULISINE | 1 | Unknown | START DATE: FEW YEARS?DOSE: SLIDING SCALE | U | 5F163A | 21629 | SOLUTION FOR INJECTION | TID | ||||||
| 117696019 | 11769601 | 4 | SS | APIDRA SOLOSTAR | INSULIN GLULISINE | 1 | Unknown | START DATE: FEW YEARS?DOSE: SLIDING SCALE | U | 5F163A | 21629 | SOLUTION FOR INJECTION | TID | ||||||
| 117696019 | 11769601 | 5 | SS | APIDRA SOLOSTAR | INSULIN GLULISINE | 1 | Unknown | FREQUENCY:MEALTIIMES?DOSE: SLIDING SCALE | U | 5F131A | 21629 | SOLUTION FOR INJECTION | |||||||
| 117696019 | 11769601 | 6 | SS | APIDRA SOLOSTAR | INSULIN GLULISINE | 1 | Unknown | FREQUENCY:MEALTIIMES?DOSE: SLIDING SCALE | U | 5F131A | 21629 | SOLUTION FOR INJECTION | |||||||
| 117696019 | 11769601 | 7 | SS | APIDRA SOLOSTAR | INSULIN GLULISINE | 1 | Unknown | FREQUENCY:MEALTIIMES?DOSE: SLIDING SCALE | U | 5F163A | 21629 | SOLUTION FOR INJECTION | |||||||
| 117696019 | 11769601 | 8 | SS | APIDRA SOLOSTAR | INSULIN GLULISINE | 1 | Unknown | FREQUENCY:MEALTIIMES?DOSE: SLIDING SCALE | U | 5F163A | 21629 | SOLUTION FOR INJECTION | |||||||
| 117696019 | 11769601 | 9 | SS | APIDRA SOLOSTAR | INSULIN GLULISINE | 1 | Unknown | DOSE-16U OR SLIDING?SCALE | U | 6F424A | 21629 | TID | |||||||
| 117696019 | 11769601 | 10 | SS | APIDRA SOLOSTAR | INSULIN GLULISINE | 1 | Unknown | DOSE-16U OR SLIDING?SCALE | U | 6F424A | 21629 | TID | |||||||
| 117696019 | 11769601 | 11 | C | SOLOSTAR | DEVICE | 1 | Unknown | 6F424A | 0 | TID | |||||||||
| 117696019 | 11769601 | 12 | C | SOLOSTAR | DEVICE | 1 | Unknown | 6F424A | 0 | TID | |||||||||
| 117696019 | 11769601 | 13 | C | SOLOSTAR | DEVICE | 1 | 0 | ||||||||||||
| 117696019 | 11769601 | 14 | C | SOLOSTAR | DEVICE | 1 | 0 | ||||||||||||
| 117696019 | 11769601 | 15 | C | SOLOSTAR | DEVICE | 1 | 0 | ||||||||||||
| 117696019 | 11769601 | 16 | C | SOLOSTAR | DEVICE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 117696019 | 11769601 | 1 | Diabetes mellitus |
| 117696019 | 11769601 | 2 | Type 2 diabetes mellitus |
| 117696019 | 11769601 | 3 | Diabetes mellitus |
| 117696019 | 11769601 | 4 | Type 2 diabetes mellitus |
| 117696019 | 11769601 | 5 | Diabetes mellitus |
| 117696019 | 11769601 | 6 | Type 2 diabetes mellitus |
| 117696019 | 11769601 | 7 | Diabetes mellitus |
| 117696019 | 11769601 | 8 | Type 2 diabetes mellitus |
| 117696019 | 11769601 | 9 | Diabetes mellitus |
| 117696019 | 11769601 | 10 | Type 2 diabetes mellitus |
| 117696019 | 11769601 | 11 | Diabetes mellitus |
| 117696019 | 11769601 | 12 | Type 2 diabetes mellitus |
| 117696019 | 11769601 | 13 | Diabetes mellitus |
| 117696019 | 11769601 | 14 | Type 2 diabetes mellitus |
| 117696019 | 11769601 | 15 | Diabetes mellitus |
| 117696019 | 11769601 | 16 | Type 2 diabetes mellitus |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 117696019 | 11769601 | OT |
| 117696019 | 11769601 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 117696019 | 11769601 | Blood glucose increased | |
| 117696019 | 11769601 | Colitis ulcerative | |
| 117696019 | 11769601 | Drug ineffective | |
| 117696019 | 11769601 | Fluid retention | |
| 117696019 | 11769601 | Hyperhidrosis | |
| 117696019 | 11769601 | Malaise | |
| 117696019 | 11769601 | Surgery | |
| 117696019 | 11769601 | Wrong technique in product usage process |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |