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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124270952 | 12427095 | 2 | F | 2014 | 20160909 | 20160601 | 20160922 | PER | US-ELI_LILLY_AND_COMPANY-US201605010948 | ELI LILLY AND CO | 72.77 | YR | F | Y | 0.00000 | 20160922 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124270952 | 12427095 | 1 | PS | Insulin Human | INSULIN HUMAN | 1 | Unknown | 40 U, EACH MORNING | 18780 | 40 | IU | INJECTION | QD | ||||||
| 124270952 | 12427095 | 2 | SS | Insulin Human | INSULIN HUMAN | 1 | Unknown | 75 U, QD | 18780 | 75 | IU | INJECTION | QD | ||||||
| 124270952 | 12427095 | 3 | SS | Insulin Human | INSULIN HUMAN | 1 | Unknown | 40 U, EACH EVENING | 18780 | 40 | IU | INJECTION | QD | ||||||
| 124270952 | 12427095 | 4 | SS | Insulin Human | INSULIN HUMAN | 1 | Unknown | 40 U, EACH MORNING | C477809A | 18780 | 40 | IU | INJECTION | QD | |||||
| 124270952 | 12427095 | 5 | SS | Insulin Human | INSULIN HUMAN | 1 | Unknown | 75 U, QD | C477809A | 18780 | 75 | IU | INJECTION | QD | |||||
| 124270952 | 12427095 | 6 | SS | Insulin Human | INSULIN HUMAN | 1 | Unknown | 40 U, EACH EVENING | C477809A | 18780 | 40 | IU | INJECTION | QD | |||||
| 124270952 | 12427095 | 7 | SS | HUMULIN R U-500 | INSULIN HUMAN | 1 | Unknown | 75 U, QD | 0 | 75 | IU | INJECTION | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124270952 | 12427095 | 1 | Type 2 diabetes mellitus |
| 124270952 | 12427095 | 7 | Type 2 diabetes mellitus |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124270952 | 12427095 | Blood glucose fluctuation | |
| 124270952 | 12427095 | Blood glucose increased | |
| 124270952 | 12427095 | Expired product administered |
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 |
|---|---|---|---|---|---|---|
| 124270952 | 12427095 | 1 | 2011 | 0 | ||
| 124270952 | 12427095 | 2 | 2011 | 0 | ||
| 124270952 | 12427095 | 3 | 2011 | 0 |