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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126160902 | 12616090 | 2 | F | 20160720 | 20160728 | 20160802 | 20160808 | EXP | US-ELI_LILLY_AND_COMPANY-US201607009761 | ELI LILLY AND CO | 87.20 | YR | F | Y | 0.00000 | 20160808 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126160902 | 12616090 | 1 | PS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 62 U, EACH MORNING | U | 20563 | 62 | IU | INJECTION | QD | |||||
| 126160902 | 12616090 | 2 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 50 U, EACH EVENING | U | 20563 | 50 | IU | INJECTION | QD | |||||
| 126160902 | 12616090 | 3 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 56 U, EACH MORNING | U | C506933E | 20563 | 56 | IU | INJECTION | QD | ||||
| 126160902 | 12616090 | 4 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 42 U, EACH EVENING | U | C421009L | 20563 | 42 | IU | INJECTION | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126160902 | 12616090 | 1 | Impaired insulin secretion |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126160902 | 12616090 | OT |
| 126160902 | 12616090 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126160902 | 12616090 | Abnormal behaviour | |
| 126160902 | 12616090 | Asthma | |
| 126160902 | 12616090 | Blood glucose abnormal | |
| 126160902 | 12616090 | Blood glucose decreased | |
| 126160902 | 12616090 | Blood glucose increased | |
| 126160902 | 12616090 | Cardiac failure | |
| 126160902 | 12616090 | Chronic obstructive pulmonary disease | |
| 126160902 | 12616090 | Drug ineffective | |
| 126160902 | 12616090 | Emphysema | |
| 126160902 | 12616090 | Gout | |
| 126160902 | 12616090 | Hypertension | |
| 126160902 | 12616090 | Incorrect dose administered | |
| 126160902 | 12616090 | Myocardial infarction | |
| 126160902 | 12616090 | Renal disorder |
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 |
|---|---|---|---|---|---|---|
| 126160902 | 12616090 | 1 | 201601 | 0 | ||
| 126160902 | 12616090 | 2 | 201601 | 0 |