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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126165001 | 12616500 | 1 | I | 20160722 | 20160802 | 20160802 | PER | US-ELI_LILLY_AND_COMPANY-US201607012067 | ELI LILLY AND CO | 0.00 | F | Y | 0.00000 | 20160802 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126165001 | 12616500 | 1 | PS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 20 U, EACH MORNING | 20563 | 20 | IU | INJECTION | QD | ||||||
126165001 | 12616500 | 2 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 6 U, EACH EVENING | 20563 | 6 | IU | INJECTION | QD | ||||||
126165001 | 12616500 | 3 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 20 U, EACH MORNING | C509705A | 20563 | 20 | IU | INJECTION | QD | |||||
126165001 | 12616500 | 4 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 6 U, EACH EVENING | C509705A | 20563 | 6 | IU | INJECTION | QD |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126165001 | 12616500 | 1 | Type 2 diabetes mellitus |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126165001 | 12616500 | Incorrect drug administration duration | |
126165001 | 12616500 | 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 |
---|---|---|---|---|---|---|
126165001 | 12616500 | 1 | 2013 | 0 | ||
126165001 | 12616500 | 2 | 2013 | 0 | ||
126165001 | 12616500 | 3 | 20160709 | 0 | ||
126165001 | 12616500 | 4 | 20160709 | 0 |