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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126486563 | 12648656 | 3 | F | 2016 | 20160907 | 20160812 | 20160915 | EXP | US-SA-2016SA144886 | AVENTIS | 87.00 | YR | E | F | Y | 54.88000 | KG | 20160915 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126486563 | 12648656 | 1 | PS | LANTUS SOLOSTAR | INSULIN GLARGINE | 1 | Unknown | DOSE:20 UNIT(S) | UNK | 21081 | QD | ||||||||
126486563 | 12648656 | 2 | SS | LANTUS SOLOSTAR | INSULIN GLARGINE | 1 | Unknown | DOSE:24 UNIT(S) | UNK | 21081 | |||||||||
126486563 | 12648656 | 3 | C | SOLOSTAR | DEVICE | 1 | 0 | ||||||||||||
126486563 | 12648656 | 4 | C | NOVOLOG | INSULIN ASPART | 1 | SLIDING SCALE | 0 | TID |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126486563 | 12648656 | 1 | Diabetes mellitus |
126486563 | 12648656 | 2 | Diabetes mellitus |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126486563 | 12648656 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126486563 | 12648656 | Ankle fracture | |
126486563 | 12648656 | Cardiac disorder | |
126486563 | 12648656 | Visual acuity reduced | |
126486563 | 12648656 | Wrong technique in product usage process |
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 |
---|---|---|---|---|---|---|
126486563 | 12648656 | 1 | 1996 | 0 | ||
126486563 | 12648656 | 3 | 1996 | 0 |