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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124764553 | 12476455 | 3 | F | 201605 | 20160705 | 20160617 | 20160708 | PER | US-ELI_LILLY_AND_COMPANY-US201606000928 | ELI LILLY AND CO | 50.87 | YR | F | Y | 0.00000 | 20160708 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124764553 | 12476455 | 1 | PS | HUMULIN R U-500 | INSULIN HUMAN | 1 | Unknown | UNK, UNKNOWN | U | U | C509906E | 18780 | INJECTION | ||||||
| 124764553 | 12476455 | 2 | SS | HUMULIN R U-500 | INSULIN HUMAN | 1 | Unknown | 10 U, TID | U | U | C509906D | 18780 | 10 | IU | INJECTION | TID | |||
| 124764553 | 12476455 | 3 | SS | HUMULIN R U-500 | INSULIN HUMAN | 1 | Unknown | 5 U, PRN | U | U | C509906D | 18780 | 5 | IU | INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124764553 | 12476455 | 1 | Type 2 diabetes mellitus |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124764553 | 12476455 | Blood glucose increased | |
| 124764553 | 12476455 | Inappropriate schedule of drug administration | |
| 124764553 | 12476455 | Incorrect dose administered | |
| 124764553 | 12476455 | Intentional product misuse |
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 |
|---|---|---|---|---|---|---|
| 124764553 | 12476455 | 1 | 20160520 | 0 | ||
| 124764553 | 12476455 | 2 | 20160601 | 0 |