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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123522873 | 12352287 | 3 | F | 2013 | 20160816 | 20160510 | 20160822 | EXP | US-SA-2016SA088096 | AVENTIS | 77.00 | YR | E | F | Y | 81.64000 | KG | 20160822 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123522873 | 12352287 | 1 | SS | SOLOSTAR | DEVICE | 1 | 5F323A | 0 | TID | ||||||||||
| 123522873 | 12352287 | 2 | PS | APIDRA SOLOSTAR | INSULIN GLULISINE | 1 | Unknown | DOSE:2-10 UNITS?DAILY DOSE: 6-30 UNIT | 5F323A | 21629 | INJECTION | TID | |||||||
| 123522873 | 12352287 | 3 | SS | LANTUS | INSULIN GLARGINE | 1 | Unknown | U | UNK | 21081 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 123522873 | 12352287 | 1 | Type 1 diabetes mellitus |
| 123522873 | 12352287 | 2 | Type 1 diabetes mellitus |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 123522873 | 12352287 | HO |
| 123522873 | 12352287 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 123522873 | 12352287 | Arthropathy | |
| 123522873 | 12352287 | Cardiac failure congestive | |
| 123522873 | 12352287 | Device issue | |
| 123522873 | 12352287 | Hyperglycaemia | |
| 123522873 | 12352287 | Myocardial infarction |
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 |
|---|---|---|---|---|---|---|
| 123522873 | 12352287 | 1 | 2001 | 0 | ||
| 123522873 | 12352287 | 2 | 2001 | 0 |