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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122399013 | 12239901 | 3 | F | 20160712 | 20160405 | 20160720 | EXP | US-ELI_LILLY_AND_COMPANY-US201603010358 | ELI LILLY AND CO | 0.00 | M | Y | 0.00000 | 20160720 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122399013 | 12239901 | 1 | PS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 15 U, EACH MORNING | 20563 | 15 | IU | INJECTION | QD | ||||||
| 122399013 | 12239901 | 2 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 15 U, EACH EVENING | 20563 | 15 | IU | INJECTION | QD | ||||||
| 122399013 | 12239901 | 3 | C | LASIX | FUROSEMIDE | 1 | Unknown | 40 MG, 5/W | U | 0 | 40 | MG | |||||||
| 122399013 | 12239901 | 4 | C | POTASSIUM | POTASSIUM | 1 | Unknown | U | 0 | ||||||||||
| 122399013 | 12239901 | 5 | C | BABY ASPIRIN | ASPIRIN | 1 | Unknown | U | 0 | ||||||||||
| 122399013 | 12239901 | 6 | C | PROAIR HFA | ALBUTEROL SULFATE | 1 | Unknown | U | 0 | ||||||||||
| 122399013 | 12239901 | 7 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Unknown | U | 0 | ||||||||||
| 122399013 | 12239901 | 8 | C | FLONASE /00908302/ | MOMETASONE FUROATE | 1 | Unknown | UNK, PRN | U | 0 | |||||||||
| 122399013 | 12239901 | 9 | C | VITAMIN D /00107901/ | ERGOCALCIFEROL | 1 | Unknown | 2000 IU, QD | U | 0 | 2000 | IU | QD | ||||||
| 122399013 | 12239901 | 10 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | Unknown | 300 MG, QD | U | 0 | 300 | MG | QD | ||||||
| 122399013 | 12239901 | 11 | C | NEURONTIN | GABAPENTIN | 1 | Unknown | 300 MG, EACH EVENING | U | 0 | 300 | MG | QD | ||||||
| 122399013 | 12239901 | 12 | C | MECLIZINE HCL | MECLIZINE HYDROCHLORIDE | 1 | Unknown | UNK, PRN | U | 0 | |||||||||
| 122399013 | 12239901 | 13 | C | SIMVASTATIN. | SIMVASTATIN | 1 | Unknown | U | 0 | ||||||||||
| 122399013 | 12239901 | 14 | C | MUCINEX | GUAIFENESIN | 1 | Unknown | UNK, PRN | U | 0 | |||||||||
| 122399013 | 12239901 | 15 | C | TRAMADOL. | TRAMADOL | 1 | Unknown | 25 MG, UNKNOWN | U | 0 | 25 | MG | |||||||
| 122399013 | 12239901 | 16 | C | ZANAFLEX | TIZANIDINE HYDROCHLORIDE | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 122399013 | 12239901 | 1 | Diabetes mellitus |
| 122399013 | 12239901 | 3 | Product used for unknown indication |
| 122399013 | 12239901 | 4 | Product used for unknown indication |
| 122399013 | 12239901 | 5 | Product used for unknown indication |
| 122399013 | 12239901 | 6 | Product used for unknown indication |
| 122399013 | 12239901 | 7 | Product used for unknown indication |
| 122399013 | 12239901 | 8 | Product used for unknown indication |
| 122399013 | 12239901 | 9 | Product used for unknown indication |
| 122399013 | 12239901 | 10 | Product used for unknown indication |
| 122399013 | 12239901 | 11 | Product used for unknown indication |
| 122399013 | 12239901 | 12 | Dizziness |
| 122399013 | 12239901 | 13 | Product used for unknown indication |
| 122399013 | 12239901 | 14 | Product used for unknown indication |
| 122399013 | 12239901 | 15 | Pain |
| 122399013 | 12239901 | 16 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 122399013 | 12239901 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 122399013 | 12239901 | Blood glucose increased | |
| 122399013 | 12239901 | Pneumonia |
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 |
|---|---|---|---|---|---|---|
| 122399013 | 12239901 | 1 | 201503 | 0 | ||
| 122399013 | 12239901 | 2 | 201503 | 0 |