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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126455923 | 12645592 | 3 | F | 20151220 | 20160915 | 20160811 | 20160927 | EXP | DK-SA-2016SA118589 | AVENTIS | 22.00 | YR | A | F | Y | 69.30000 | KG | 20160927 | MD | DK | DK |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126455923 | 12645592 | 1 | PS | LANTUS | INSULIN GLARGINE | 1 | Unknown | 39 IU, QD | 585 | IU | U | UNKNOWN | 21081 | 39 | IU | QD | |||
| 126455923 | 12645592 | 2 | SS | LANTUS | INSULIN GLARGINE | 1 | Subcutaneous | 27 IU, QD | 585 | IU | U | UNKNOWN | 21081 | 27 | IU | SOLUTION FOR INJECTION | QD | ||
| 126455923 | 12645592 | 3 | SS | NOVORAPID | INSULIN ASPART | 1 | Subcutaneous | 12 IU, QD | U | UNKNOWN | 0 | 12 | IU | SOLUTION FOR INJECTION | QD | ||||
| 126455923 | 12645592 | 4 | SS | NOVORAPID | INSULIN ASPART | 1 | Subcutaneous | UNK | U | UNKNOWN | 0 | SOLUTION FOR INJECTION | |||||||
| 126455923 | 12645592 | 5 | C | GRAVITAMIN | 2 | Unknown | 0 | ||||||||||||
| 126455923 | 12645592 | 6 | C | FOLIC ACID. | FOLIC ACID | 1 | Unknown | 0 | |||||||||||
| 126455923 | 12645592 | 7 | C | METHYLPHENIDATE. | METHYLPHENIDATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126455923 | 12645592 | 1 | Type 1 diabetes mellitus |
| 126455923 | 12645592 | 2 | Type 1 diabetes mellitus |
| 126455923 | 12645592 | 3 | Type 1 diabetes mellitus |
| 126455923 | 12645592 | 4 | Type 1 diabetes mellitus |
| 126455923 | 12645592 | 7 | Mental disorder |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126455923 | 12645592 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126455923 | 12645592 | Back pain | |
| 126455923 | 12645592 | Diabetes mellitus inadequate control | |
| 126455923 | 12645592 | Erysipelas | |
| 126455923 | 12645592 | Exposure during pregnancy | |
| 126455923 | 12645592 | Malaise | |
| 126455923 | 12645592 | Vomiting |
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 |
|---|---|---|---|---|---|---|
| 126455923 | 12645592 | 1 | 20151207 | 0 | ||
| 126455923 | 12645592 | 3 | 2006 | 0 | ||
| 126455923 | 12645592 | 5 | 201601 | 0 | ||
| 126455923 | 12645592 | 6 | 201601 | 0 | ||
| 126455923 | 12645592 | 7 | 20160731 | 0 |