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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
121372573 | 12137257 | 3 | F | 20160216 | 20160722 | 20160302 | 20160728 | EXP | CA-ELI_LILLY_AND_COMPANY-CA201602008418 | ELI LILLY AND CO | 41.00 | YR | F | Y | 0.00000 | 20160728 | CN | CA | CA |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
121372573 | 12137257 | 1 | PS | HUMALOG | INSULIN LISPRO | 1 | Unknown | UNK, UNKNOWN | 20563 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
121372573 | 12137257 | 1 | Type 1 diabetes mellitus |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
121372573 | 12137257 | HO |
121372573 | 12137257 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
121372573 | 12137257 | Blood glucose decreased | |
121372573 | 12137257 | Blood glucose increased | |
121372573 | 12137257 | Concussion | |
121372573 | 12137257 | Fall | |
121372573 | 12137257 | Fear | |
121372573 | 12137257 | Headache | |
121372573 | 12137257 | Incorrect dose administered | |
121372573 | 12137257 | Joint injury | |
121372573 | 12137257 | Sleep disorder due to a general medical condition | |
121372573 | 12137257 | Temporomandibular joint syndrome |
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 |
---|---|---|---|---|---|---|
121372573 | 12137257 | 1 | 2008 | 0 |