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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125308351 | 12530835 | 1 | I | 20160629 | 20160630 | 20160706 | 20160706 | PER | US-ELI_LILLY_AND_COMPANY-US201607000719 | ELI LILLY AND CO | 0.00 | M | Y | 0.00000 | 20160706 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125308351 | 12530835 | 1 | PS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | UNK, EACH MORNING | 20563 | INJECTION | QD | ||||||||
| 125308351 | 12530835 | 2 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | UNK, EACH EVENING | 20563 | INJECTION | QD | ||||||||
| 125308351 | 12530835 | 3 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | UNK, EACH MORNING | C456065R | 20563 | INJECTION | QD | |||||||
| 125308351 | 12530835 | 4 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | UNK, EACH EVENING | C456065R | 20563 | INJECTION | QD | |||||||
| 125308351 | 12530835 | 5 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 125308351 | 12530835 | 6 | C | GABAPENTIN. | GABAPENTIN | 1 | Unknown | UNK, UNKNOWN | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125308351 | 12530835 | 1 | Product used for unknown indication |
| 125308351 | 12530835 | 5 | Product used for unknown indication |
| 125308351 | 12530835 | 6 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125308351 | 12530835 | 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 |
|---|---|---|---|---|---|---|
| 125308351 | 12530835 | 1 | 201604 | 0 | ||
| 125308351 | 12530835 | 2 | 201604 | 0 |