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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125288291 | 12528829 | 1 | I | 20160629 | 20160705 | 20160705 | PER | US-ELI_LILLY_AND_COMPANY-US201607000397 | ELI LILLY AND CO | 55.00 | YR | F | Y | 0.00000 | 20160705 | PH | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125288291 | 12528829 | 1 | PS | HUMULIN R U-500 | INSULIN HUMAN | 1 | Unknown | 30 U, UNKNOWN | U | 18780 | 30 | IU | INJECTION | ||||||
| 125288291 | 12528829 | 2 | SS | HUMULIN R | INSULIN HUMAN | 1 | Unknown | UNK, UNKNOWN | U | 0 | INJECTION | ||||||||
| 125288291 | 12528829 | 3 | C | LANTUS | INSULIN GLARGINE | 1 | Unknown | UNK, UNKNOWN | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125288291 | 12528829 | 1 | Diabetes mellitus |
| 125288291 | 12528829 | 2 | Diabetes mellitus |
| 125288291 | 12528829 | 3 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125288291 | 12528829 | Blood glucose increased | |
| 125288291 | 12528829 | Incorrect product formulation administered |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |