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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125377621 | 12537762 | 1 | I | 20160323 | 20160627 | 20160707 | 20160707 | EXP | US-ELI_LILLY_AND_COMPANY-US201606010996 | ELI LILLY AND CO | 72.97 | YR | M | Y | 0.00000 | 20160707 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125377621 | 12537762 | 1 | PS | HUMULIN R | INSULIN HUMAN | 1 | Subcutaneous | UNK, UNKNOWN | U | U | C477811A | 18780 | INJECTION | ||||||
125377621 | 12537762 | 2 | SS | HUMULIN R | INSULIN HUMAN | 1 | Subcutaneous | UNK, UNKNOWN | U | U | C524368A | 18780 | INJECTION | ||||||
125377621 | 12537762 | 3 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | UNK, UNKNOWN | C446949C | 0 | INJECTION | ||||||||
125377621 | 12537762 | 4 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | UNK, UNKNOWN | C453928C | 0 | INJECTION | ||||||||
125377621 | 12537762 | 5 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | UNK, UNKNOWN | C494925A | 0 | INJECTION | ||||||||
125377621 | 12537762 | 6 | SS | INSULIN | INSULIN NOS | 1 | Intravenous (not otherwise specified) | UNK, UNKNOWN | U | U | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125377621 | 12537762 | 1 | Type 2 diabetes mellitus |
125377621 | 12537762 | 3 | Type 2 diabetes mellitus |
125377621 | 12537762 | 5 | Type 2 diabetes mellitus |
125377621 | 12537762 | 6 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
125377621 | 12537762 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125377621 | 12537762 | Atrial fibrillation | |
125377621 | 12537762 | Blood glucose decreased | |
125377621 | 12537762 | Blood glucose increased | |
125377621 | 12537762 | Chronic obstructive pulmonary disease | |
125377621 | 12537762 | Fall | |
125377621 | 12537762 | Lung disorder | |
125377621 | 12537762 | Wrong technique in product usage process |
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 |
---|---|---|---|---|---|---|
125377621 | 12537762 | 1 | 2015 | 201606 | 0 | |
125377621 | 12537762 | 3 | 20160622 | 0 |