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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124006174 | 12400617 | 4 | F | 2007 | 20151009 | 20160525 | 20160920 | EXP | US-SA-2015SA160901 | AVENTIS | 63.00 | YR | A | F | Y | 0.00000 | 20160920 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124006174 | 12400617 | 1 | PS | LANTUS SOLOSTAR | INSULIN GLARGINE | 1 | Unknown | 60U IN AM/ 20 U PM | 5F1478A | 21081 | INJECTION | BID | |||||||
| 124006174 | 12400617 | 2 | SS | LANTUS SOLOSTAR | INSULIN GLARGINE | 1 | Unknown | 60U IN AM/ 20 U PM | 3F331A | 21081 | INJECTION | BID | |||||||
| 124006174 | 12400617 | 3 | SS | LANTUS SOLOSTAR | INSULIN GLARGINE | 1 | Unknown | 60U IN AM/ 20 U PM | 4F1998A | 21081 | INJECTION | BID | |||||||
| 124006174 | 12400617 | 4 | SS | LANTUS SOLOSTAR | INSULIN GLARGINE | 1 | Unknown | 60U IN AM/ 20 U PM | 5F1478A | 21081 | INJECTION | BID | |||||||
| 124006174 | 12400617 | 5 | C | SOLOSTAR | DEVICE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124006174 | 12400617 | 1 | Type 2 diabetes mellitus |
| 124006174 | 12400617 | 2 | Type 2 diabetes mellitus |
| 124006174 | 12400617 | 3 | Type 2 diabetes mellitus |
| 124006174 | 12400617 | 4 | Type 2 diabetes mellitus |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124006174 | 12400617 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124006174 | 12400617 | Condition aggravated | |
| 124006174 | 12400617 | Drug administration error | |
| 124006174 | 12400617 | Mental impairment | |
| 124006174 | 12400617 | Visual impairment | |
| 124006174 | 12400617 | 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 |
|---|---|---|---|---|---|---|
| 124006174 | 12400617 | 1 | 2007 | 0 | ||
| 124006174 | 12400617 | 2 | 2007 | 0 | ||
| 124006174 | 12400617 | 3 | 2007 | 0 | ||
| 124006174 | 12400617 | 4 | 2007 | 0 |