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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121663583 | 12166358 | 3 | F | 201507 | 20160715 | 20160309 | 20160719 | PER | US-ELI_LILLY_AND_COMPANY-US201602003693 | ELI LILLY AND CO | 30.44 | YR | F | Y | 0.00000 | 20160719 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121663583 | 12166358 | 1 | PS | HUMULIN N | INSULIN HUMAN | 1 | Unknown | 38 U, EACH MORNING | C245968C | 18780 | 38 | IU | INJECTION | QD | |||||
| 121663583 | 12166358 | 2 | SS | HUMULIN N | INSULIN HUMAN | 1 | Unknown | 40 U, EACH EVENING | C245968C | 18780 | 40 | IU | INJECTION | QD | |||||
| 121663583 | 12166358 | 3 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | UNK, UNKNOWN | 0 | INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121663583 | 12166358 | 1 | Type 1 diabetes mellitus |
| 121663583 | 12166358 | 3 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121663583 | 12166358 | Drug dose omission | |
| 121663583 | 12166358 | Expired product administered | |
| 121663583 | 12166358 | Exposure during pregnancy |
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 |
|---|---|---|---|---|---|---|
| 121663583 | 12166358 | 1 | 201507 | 0 | ||
| 121663583 | 12166358 | 2 | 201507 | 0 |