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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125626004 | 12562600 | 4 | F | 20160702 | 20160818 | 20160715 | 20160829 | EXP | US-SA-2016SA126959 | AVENTIS | 83.00 | YR | E | M | Y | 0.00000 | 20160829 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125626004 | 12562600 | 1 | PS | LANTUS | INSULIN GLARGINE | 1 | Unknown | DOSE:15 UNIT(S) | 5F449A | 21081 | SOLUTION FOR INJECTION | QD | |||||||
| 125626004 | 12562600 | 2 | SS | LANTUS | INSULIN GLARGINE | 1 | Unknown | DOSE:15 UNIT(S) | 6F476A | 21081 | SOLUTION FOR INJECTION | QD | |||||||
| 125626004 | 12562600 | 3 | C | FOLIC ACID. | FOLIC ACID | 1 | 0 | 1 | DF | TABLET | QD | ||||||||
| 125626004 | 12562600 | 4 | C | PREDNISONE. | PREDNISONE | 1 | 0 | 5 | MG | BID | |||||||||
| 125626004 | 12562600 | 5 | C | SIMVASTATIN. | SIMVASTATIN | 1 | 0 | 1 | DF | TABLET | |||||||||
| 125626004 | 12562600 | 6 | C | TIMOLOL. | TIMOLOL | 1 | 0 | ||||||||||||
| 125626004 | 12562600 | 7 | C | DOCUSATE | DOCUSATE | 1 | 0 | 100 | MG | CAPSULE | BID | ||||||||
| 125626004 | 12562600 | 8 | C | DONEPEZIL. | DONEPEZIL | 1 | 0 | 10 | MG | TABLET | QD | ||||||||
| 125626004 | 12562600 | 9 | C | VITAMIN B1 | THIAMINE HYDROCHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125626004 | 12562600 | 1 | Type 2 diabetes mellitus |
| 125626004 | 12562600 | 2 | Type 2 diabetes mellitus |
| 125626004 | 12562600 | 3 | Supplementation therapy |
| 125626004 | 12562600 | 4 | Rheumatoid arthritis |
| 125626004 | 12562600 | 5 | Blood cholesterol |
| 125626004 | 12562600 | 6 | Cataract |
| 125626004 | 12562600 | 7 | Constipation |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125626004 | 12562600 | HO |
| 125626004 | 12562600 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125626004 | 12562600 | Dementia | |
| 125626004 | 12562600 | Hyperglycaemia |
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 |
|---|---|---|---|---|---|---|
| 125626004 | 12562600 | 1 | 20160702 | 0 | ||
| 125626004 | 12562600 | 2 | 20160702 | 0 |