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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126127772 | 12612777 | 2 | F | 2013 | 20160902 | 20160801 | 20160913 | EXP | US-ELI_LILLY_AND_COMPANY-US201607009031 | ELI LILLY AND CO | 0.00 | F | Y | 0.00000 | 20160913 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126127772 | 12612777 | 1 | PS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 4 U, EACH MORNING | C531322C | 20563 | 4 | IU | INJECTION | QD | |||||
126127772 | 12612777 | 2 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 6 U, QD | C531322C | 20563 | 6 | IU | INJECTION | QD | |||||
126127772 | 12612777 | 3 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 10 U, EACH EVENING | C531322C | 20563 | 10 | IU | INJECTION | QD | |||||
126127772 | 12612777 | 4 | C | LEVEMIR | INSULIN DETEMIR | 1 | U | 0 | |||||||||||
126127772 | 12612777 | 5 | C | SIMVASTATIN. | SIMVASTATIN | 1 | U | 0 | |||||||||||
126127772 | 12612777 | 6 | C | FUROSEMIDE. | FUROSEMIDE | 1 | U | 0 | |||||||||||
126127772 | 12612777 | 7 | C | AMLODIPINE | AMLODIPINE BESYLATE | 1 | U | 0 | |||||||||||
126127772 | 12612777 | 8 | C | ALLOPURINOL. | ALLOPURINOL | 1 | U | 0 | |||||||||||
126127772 | 12612777 | 9 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | U | 0 | |||||||||||
126127772 | 12612777 | 10 | C | BENTYL | DICYCLOMINE HYDROCHLORIDE | 1 | U | 0 | |||||||||||
126127772 | 12612777 | 11 | C | METOPROLOL. | METOPROLOL | 1 | U | 0 | |||||||||||
126127772 | 12612777 | 12 | C | IMDUR | ISOSORBIDE MONONITRATE | 1 | U | 0 | |||||||||||
126127772 | 12612777 | 13 | C | VITAMIN D2 | ERGOCALCIFEROL | 1 | U | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126127772 | 12612777 | 1 | Type 1 diabetes mellitus |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126127772 | 12612777 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126127772 | 12612777 | Blindness | |
126127772 | 12612777 | Corneal dystrophy | |
126127772 | 12612777 | Injury associated with device | |
126127772 | 12612777 | Macular degeneration |
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 |
---|---|---|---|---|---|---|
126127772 | 12612777 | 1 | 2001 | 0 | ||
126127772 | 12612777 | 2 | 2001 | 0 | ||
126127772 | 12612777 | 3 | 2001 | 0 |