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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125217861 | 12521786 | 1 | I | 20160624 | 20160701 | 20160701 | PER | US-ELI_LILLY_AND_COMPANY-US201606010364 | ELI LILLY AND CO | 0.00 | F | Y | 0.00000 | 20160701 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125217861 | 12521786 | 1 | PS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 7 U, EACH MORNING | 20563 | 7 | IU | INJECTION | QD | ||||||
| 125217861 | 12521786 | 2 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 7 U, EACH MORNING | C446621C | 20563 | 7 | IU | INJECTION | QD | |||||
| 125217861 | 12521786 | 3 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 7 U, EACH MORNING | C355209A | 20563 | 7 | IU | INJECTION | QD | |||||
| 125217861 | 12521786 | 4 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 10 U, AT LUNCH | 20563 | 10 | IU | INJECTION | |||||||
| 125217861 | 12521786 | 5 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 10 U, AT LUNCH | C446621C | 20563 | 10 | IU | INJECTION | ||||||
| 125217861 | 12521786 | 6 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 10 U, AT LUNCH | C355209A | 20563 | 10 | IU | INJECTION | ||||||
| 125217861 | 12521786 | 7 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 12 U, EACH EVENING | 20563 | 12 | IU | INJECTION | QD | ||||||
| 125217861 | 12521786 | 8 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 12 U, EACH EVENING | C446621C | 20563 | 12 | IU | INJECTION | QD | |||||
| 125217861 | 12521786 | 9 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 12 U, EACH EVENING | C355209A | 20563 | 12 | IU | INJECTION | QD | |||||
| 125217861 | 12521786 | 10 | C | LANTUS | INSULIN GLARGINE | 1 | U | 0 | INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125217861 | 12521786 | 1 | Type 1 diabetes mellitus |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125217861 | 12521786 | Incorrect dose 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 |
|---|---|---|---|---|---|---|
| 125217861 | 12521786 | 1 | 2012 | 0 | ||
| 125217861 | 12521786 | 4 | 2012 | 0 | ||
| 125217861 | 12521786 | 6 | 2012 | 0 | ||
| 125217861 | 12521786 | 7 | 2012 | 0 |