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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125719473 | 12571947 | 3 | F | 2009 | 20160819 | 20160719 | 20160822 | EXP | BR-ELI_LILLY_AND_COMPANY-BR201607004942 | ELI LILLY AND CO | 87.07 | YR | M | Y | 57.00000 | KG | 20160819 | CN | BR | BR |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125719473 | 12571947 | 1 | PS | HUMULIN N | INSULIN HUMAN | 1 | Subcutaneous | UNK UNK, UNKNOWN | U | U | 18780 | INJECTION | |||||||
125719473 | 12571947 | 2 | SS | HUMULIN R | INSULIN HUMAN | 1 | Subcutaneous | UNK, PRN | C460601A | 0 | INJECTION | ||||||||
125719473 | 12571947 | 3 | C | NOVOLIN | INSULIN HUMAN | 1 | Unknown | UNK, UNKNOWN | 0 | ||||||||||
125719473 | 12571947 | 4 | C | OMEPRAZOL /00661201/ | OMEPRAZOLE | 1 | Unknown | UNK, UNKNOWN | 0 | ||||||||||
125719473 | 12571947 | 5 | C | AAS | ASPIRIN | 1 | Unknown | UNK, UNKNOWN | 0 | ||||||||||
125719473 | 12571947 | 6 | C | SIMVASTATIN. | SIMVASTATIN | 1 | Unknown | UNK, UNKNOWN | 0 | ||||||||||
125719473 | 12571947 | 7 | C | SERTRALINE | SERTRALINE HYDROCHLORIDE | 1 | Unknown | UNK, UNKNOWN | 0 | ||||||||||
125719473 | 12571947 | 8 | C | LEVEMIR | INSULIN DETEMIR | 1 | Unknown | UNK, UNKNOWN | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125719473 | 12571947 | 1 | Diabetes mellitus |
125719473 | 12571947 | 2 | Diabetes mellitus |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
125719473 | 12571947 | HO |
125719473 | 12571947 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125719473 | 12571947 | Bladder mass | |
125719473 | 12571947 | Blood glucose increased | |
125719473 | 12571947 | Cataract | |
125719473 | 12571947 | Cerebrovascular accident | |
125719473 | 12571947 | Drug dose omission | |
125719473 | 12571947 | Drug resistance | |
125719473 | 12571947 | Fall | |
125719473 | 12571947 | General physical health deterioration | |
125719473 | 12571947 | Head injury | |
125719473 | 12571947 | Hypoacusis | |
125719473 | 12571947 | Incorrect product storage | |
125719473 | 12571947 | Myocardial infarction | |
125719473 | 12571947 | Posture abnormal | |
125719473 | 12571947 | Underdose | |
125719473 | 12571947 | Urinary tract infection | |
125719473 | 12571947 | Urinary tract obstruction | |
125719473 | 12571947 | 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 |
---|---|---|---|---|---|---|
125719473 | 12571947 | 1 | 201506 | 0 | ||
125719473 | 12571947 | 2 | 20160706 | 0 |