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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
123690903 | 12369090 | 3 | F | 20160718 | 20160513 | 20160727 | EXP | US-SA-2016SA092422 | AVENTIS | 73.00 | YR | E | F | Y | 147.00000 | KG | 20160727 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
123690903 | 12369090 | 1 | PS | LANTUS SOLOSTAR | INSULIN GLARGINE | 1 | Unknown | DOSE:10 UNIT(S) | 5F2424A | 21081 | QD | ||||||||
123690903 | 12369090 | 2 | SS | LANTUS SOLOSTAR | INSULIN GLARGINE | 1 | Unknown | DOSE:10 UNIT(S) | 5F2424A | 21081 | QD | ||||||||
123690903 | 12369090 | 3 | C | SOLOSTAR | DEVICE | 1 | 0 | QD | |||||||||||
123690903 | 12369090 | 4 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Unknown | 1200 MG, 3 DAILY | 0 | 3 | DF | QD | |||||||
123690903 | 12369090 | 5 | C | GABAPENTIN. | GABAPENTIN | 1 | Unknown | 3000 MG 3 DAILY | 0 | 3 | DF | QD | |||||||
123690903 | 12369090 | 6 | C | LISINOPRIL. | LISINOPRIL | 1 | Unknown | 20 MG 2 DAILY | 0 | 2 | DF | QD | |||||||
123690903 | 12369090 | 7 | C | HYDROCHLOROT | HYDROCHLOROTHIAZIDE | 1 | 12 MG/DAILY | 0 | 12 | MG | QD |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
123690903 | 12369090 | 1 | Type 2 diabetes mellitus |
123690903 | 12369090 | 2 | Type 2 diabetes mellitus |
123690903 | 12369090 | 4 | Diabetes mellitus |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
123690903 | 12369090 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
123690903 | 12369090 | Eye haemorrhage | |
123690903 | 12369090 | 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
Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|---|
123690903 | 12369090 | 1 | 2014 | 0 | ||
123690903 | 12369090 | 2 | 201605 | 0 | ||
123690903 | 12369090 | 3 | 2014 | 0 |