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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126620401 | 12662040 | 1 | I | 20160815 | 20160815 | 20160817 | 20160817 | PER | US-ELI_LILLY_AND_COMPANY-US201608008448 | ELI LILLY AND CO | 57.98 | YR | F | Y | 0.00000 | 20160817 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126620401 | 12662040 | 1 | PS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | UNK, TID | 20563 | INJECTION | TID | ||||||||
126620401 | 12662040 | 2 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | UNK, TID | C521572F | 20563 | INJECTION | TID | |||||||
126620401 | 12662040 | 3 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | U | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126620401 | 12662040 | 1 | Type 2 diabetes mellitus |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126620401 | 12662040 | Incorrect dose administered | |
126620401 | 12662040 | Stab wound |
Reporting Sources (this data is often not reported and may therefore be missing here)
no results found |
Therapies reported
no results found |