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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125221531 | 12522153 | 1 | I | 20160624 | 20160624 | 20160701 | 20160701 | PER | US-ELI_LILLY_AND_COMPANY-US201606010395 | ELI LILLY AND CO | 63.42 | YR | M | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125221531 | 12522153 | 1 | PS | HUMALOG | INSULIN LISPRO | 1 | Subcutaneous | 4 U, EACH MORNING | 20563 | 4 | IU | INJECTION | QD | ||||||
125221531 | 12522153 | 2 | SS | HUMALOG | INSULIN LISPRO | 1 | Subcutaneous | 4 U, EACH MORNING | C485792D | 20563 | 4 | IU | INJECTION | QD | |||||
125221531 | 12522153 | 3 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 5 U, AT LUNCH | 20563 | 5 | IU | INJECTION | |||||||
125221531 | 12522153 | 4 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 5 U, AT LUNCH | C485792D | 20563 | 5 | IU | INJECTION | ||||||
125221531 | 12522153 | 5 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 4 U, EACH EVENING | 20563 | 4 | IU | INJECTION | QD | ||||||
125221531 | 12522153 | 6 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 4 U, EACH EVENING | C485792D | 20563 | 4 | IU | INJECTION | QD | |||||
125221531 | 12522153 | 7 | C | TOUJEO | INSULIN GLARGINE | 1 | UNK, EACH MORNING | U | 0 | QD |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125221531 | 12522153 | 1 | Type 1 diabetes mellitus |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125221531 | 12522153 | 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 |
---|---|---|---|---|---|---|
125221531 | 12522153 | 1 | 201604 | 0 | ||
125221531 | 12522153 | 2 | 20160614 | 0 | ||
125221531 | 12522153 | 3 | 201604 | 0 | ||
125221531 | 12522153 | 4 | 20160614 | 0 | ||
125221531 | 12522153 | 5 | 201604 | 0 | ||
125221531 | 12522153 | 6 | 20160614 | 0 |