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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126460802 | 12646080 | 2 | F | 201607 | 20160923 | 20160811 | 20160930 | PER | US-ELI_LILLY_AND_COMPANY-US201608003987 | ELI LILLY AND CO | 57.80 | YR | M | Y | 0.00000 | 20160930 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126460802 | 12646080 | 1 | PS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 40 U, EACH MORNING | C499509K | 20563 | 40 | IU | INJECTION | QD | |||||
| 126460802 | 12646080 | 2 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 25 U, EACH NOON | C499509K | 20563 | 25 | IU | INJECTION | QD | |||||
| 126460802 | 12646080 | 3 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 40 U, EACH MORNING | C506933G | 20563 | 40 | IU | INJECTION | QD | |||||
| 126460802 | 12646080 | 4 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 25 U, EACH NOON | C506933G | 20563 | 25 | IU | INJECTION | QD | |||||
| 126460802 | 12646080 | 5 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 40 U, EACH MORNING | C506934R | 20563 | 40 | IU | INJECTION | QD | |||||
| 126460802 | 12646080 | 6 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | 25 U, EACH NOON | C506934R | 20563 | 25 | IU | INJECTION | QD | |||||
| 126460802 | 12646080 | 7 | SS | HUMALOG | INSULIN LISPRO | 1 | Unknown | 40-45 U, SLIDING SCALE | Y | U | 0 | 45 | IU | INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126460802 | 12646080 | 1 | Diabetes mellitus |
| 126460802 | 12646080 | 7 | Diabetes mellitus |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126460802 | 12646080 | Accidental underdose | |
| 126460802 | 12646080 | Blood glucose increased | |
| 126460802 | 12646080 | Incorrect dose administered |
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 |
|---|---|---|---|---|---|---|
| 126460802 | 12646080 | 1 | 20160803 | 0 | ||
| 126460802 | 12646080 | 2 | 20160803 | 0 | ||
| 126460802 | 12646080 | 7 | 201607 | 20160802 | 0 |