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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126072792 | 12607279 | 2 | F | 20131223 | 20160831 | 20160729 | 20160909 | EXP | US-ELI_LILLY_AND_COMPANY-US201607008068 | ELI LILLY AND CO | 76.65 | YR | M | Y | 0.00000 | 20160909 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126072792 | 12607279 | 1 | PS | Insulin Human | INSULIN HUMAN | 1 | Unknown | 30 U, QD | C456828F | 18780 | 30 | IU | INJECTION | QD | |||||
| 126072792 | 12607279 | 2 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | UNK, PRN | 0 | INJECTION | |||||||||
| 126072792 | 12607279 | 3 | C | BABY ASPIRIN | ASPIRIN | 1 | UNK | U | U | 0 | |||||||||
| 126072792 | 12607279 | 4 | C | PRAVASTATIN. | PRAVASTATIN | 1 | UNK | U | U | 0 | |||||||||
| 126072792 | 12607279 | 5 | C | METOPROLOL. | METOPROLOL | 1 | 25 MG, UNK | U | U | 0 | 25 | MG | |||||||
| 126072792 | 12607279 | 6 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | 5000 MG, UNK | U | U | 0 | 5000 | MG | |||||||
| 126072792 | 12607279 | 7 | C | VITAMIN B1 | THIAMINE HYDROCHLORIDE | 1 | U | U | 0 | ||||||||||
| 126072792 | 12607279 | 8 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | 500 UG, UNK | U | U | 0 | 500 | UG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126072792 | 12607279 | 1 | Type 2 diabetes mellitus |
| 126072792 | 12607279 | 2 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126072792 | 12607279 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126072792 | 12607279 | Aortic stenosis | |
| 126072792 | 12607279 | Blood glucose increased | |
| 126072792 | 12607279 | Cardiac valve disease | |
| 126072792 | 12607279 | Product preparation error | |
| 126072792 | 12607279 | Skin injury |
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 |
|---|---|---|---|---|---|---|
| 126072792 | 12607279 | 1 | 1986 | 0 | ||
| 126072792 | 12607279 | 2 | 1996 | 0 |