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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126532401 | 12653240 | 1 | I | 201507 | 20160803 | 20160815 | 20160815 | EXP | US-ELI_LILLY_AND_COMPANY-US201608003043 | ELI LILLY AND CO | 61.63 | YR | M | Y | 0.00000 | 20160815 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126532401 | 12653240 | 1 | PS | Insulin Human | INSULIN HUMAN | 1 | Unknown | UNK, UNKNOWN | Y | U | 18780 | ||||||||
| 126532401 | 12653240 | 2 | SS | HUMULIN R | INSULIN HUMAN | 1 | Unknown | 30 U, BID | 0 | 30 | IU | INJECTION | BID | ||||||
| 126532401 | 12653240 | 3 | SS | HUMULIN R U-500 | INSULIN HUMAN | 1 | Unknown | 30 U, EACH MORNING | U | U | C509906E | 0 | 30 | IU | INJECTION | QD | |||
| 126532401 | 12653240 | 4 | SS | HUMULIN R U-500 | INSULIN HUMAN | 1 | Unknown | 25 U, EACH EVENING | U | U | C509906E | 0 | 25 | IU | INJECTION | QD | |||
| 126532401 | 12653240 | 5 | C | LANTUS | INSULIN GLARGINE | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 126532401 | 12653240 | 6 | C | EFFIENT | PRASUGREL HYDROCHLORIDE | 1 | Unknown | UNK, UNKNOWN | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126532401 | 12653240 | 1 | Diabetes mellitus |
| 126532401 | 12653240 | 2 | Diabetes mellitus |
| 126532401 | 12653240 | 3 | Diabetes mellitus |
| 126532401 | 12653240 | 5 | Product used for unknown indication |
| 126532401 | 12653240 | 6 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126532401 | 12653240 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126532401 | 12653240 | Blindness | |
| 126532401 | 12653240 | Blood glucose increased | |
| 126532401 | 12653240 | Device lead damage |
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 |
|---|---|---|---|---|---|---|
| 126532401 | 12653240 | 2 | 201606 | 20160730 | 0 | |
| 126532401 | 12653240 | 3 | 20160730 | 0 | ||
| 126532401 | 12653240 | 4 | 20160730 | 0 |