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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126800331 | 12680033 | 1 | I | 20140703 | 20160815 | 20160824 | 20160824 | EXP | US-NOVOPROD-506205 | NOVO NORDISK | 52.00 | YR | A | F | Y | 0.00000 | 20160824 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126800331 | 12680033 | 1 | PS | VICTOZA | LIRAGLUTIDE | 1 | Subcutaneous | 0.6 MG, SINGLE | N | UNKNOWN | 22341 | .6 | MG | SOLUTION FOR INJECTION | |||||
| 126800331 | 12680033 | 2 | C | LANTUS | INSULIN GLARGINE | 1 | Subcutaneous | 25U QAM + 15U QPM | UNKNOWN | 0 | |||||||||
| 126800331 | 12680033 | 3 | C | INSULIN | INSULIN NOS | 1 | Subcutaneous | 7U WITH MEALS | UNKNOWN | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126800331 | 12680033 | 1 | Type 1 diabetes mellitus |
| 126800331 | 12680033 | 2 | Type 1 diabetes mellitus |
| 126800331 | 12680033 | 3 | Type 1 diabetes mellitus |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126800331 | 12680033 | DE |
| 126800331 | 12680033 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126800331 | 12680033 | Diabetic ketoacidosis | |
| 126800331 | 12680033 | Loss of consciousness | |
| 126800331 | 12680033 | Nausea | |
| 126800331 | 12680033 | Off label use | |
| 126800331 | 12680033 | 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 |
|---|---|---|---|---|---|---|
| 126800331 | 12680033 | 1 | 20140703 | 20140703 | 0 |