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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125545561 | 12554556 | 1 | I | 2006 | 20160705 | 20160713 | 20160713 | EXP | US-SA-2016SA125318 | AVENTIS | 0.00 | A | F | Y | 0.00000 | 20160713 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125545561 | 12554556 | 1 | PS | LANTUS SOLOSTAR | INSULIN GLARGINE | 1 | Unknown | DOSE: 20 UNITS IN MORNING AND 20 UNITS IN THE EVENING. DOSE:20 UNIT(S) | UNK | 21081 | INJECTION | BID | |||||||
| 125545561 | 12554556 | 2 | SS | SOLOSTAR | DEVICE | 1 | UNK | 0 | BID | ||||||||||
| 125545561 | 12554556 | 3 | SS | APIDRA SOLOSTAR | INSULIN GLULISINE | 1 | Unknown | DOSE:10-15 UNITS | UNK | 21629 | TID | ||||||||
| 125545561 | 12554556 | 4 | SS | SOLOSTAR | DEVICE | 1 | UNK | 0 | TID | ||||||||||
| 125545561 | 12554556 | 5 | C | NOVOLOG | INSULIN ASPART | 1 | 0 | ||||||||||||
| 125545561 | 12554556 | 6 | C | FLEXTOUCH | DEVICE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125545561 | 12554556 | 1 | Type 1 diabetes mellitus |
| 125545561 | 12554556 | 2 | Type 1 diabetes mellitus |
| 125545561 | 12554556 | 3 | Type 1 diabetes mellitus |
| 125545561 | 12554556 | 4 | Type 1 diabetes mellitus |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125545561 | 12554556 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125545561 | 12554556 | Back disorder | |
| 125545561 | 12554556 | Blood glucose increased | |
| 125545561 | 12554556 | Device issue | |
| 125545561 | 12554556 | Eye disorder | |
| 125545561 | 12554556 | Fibromyalgia | |
| 125545561 | 12554556 | Product use issue | |
| 125545561 | 12554556 | Urinary tract infection | |
| 125545561 | 12554556 | Visual impairment |
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 |
|---|---|---|---|---|---|---|
| 125545561 | 12554556 | 1 | 2006 | 0 | ||
| 125545561 | 12554556 | 2 | 2006 | 0 | ||
| 125545561 | 12554556 | 3 | 2011 | 0 | ||
| 125545561 | 12554556 | 4 | 2011 | 0 |