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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126857141 | 12685714 | 1 | I | 20160628 | 20160630 | 20160825 | 20160825 | PER | US-NOVOPROD-500739 | NOVO NORDISK | 63.00 | YR | A | M | Y | 0.00000 | 20160825 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126857141 | 12685714 | 1 | PS | VICTOZA | LIRAGLUTIDE | 1 | Subcutaneous | UNK | ES6R934 | 22341 | SOLUTION FOR INJECTION | ||||||||
| 126857141 | 12685714 | 2 | C | HYDROCHLORZIDE | HYDROCHLOROTHIAZIDE | 1 | Oral | UNKNOWN | 0 | ||||||||||
| 126857141 | 12685714 | 3 | C | GLYBURIDE. | GLYBURIDE | 1 | Oral | UNKNOWN | 0 | ||||||||||
| 126857141 | 12685714 | 4 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Oral | UNKNOWN | 0 | ||||||||||
| 126857141 | 12685714 | 5 | C | LISINOPRIL. | LISINOPRIL | 1 | Oral | UNKNOWN | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126857141 | 12685714 | 1 | Type 2 diabetes mellitus |
| 126857141 | 12685714 | 2 | Hypertension |
| 126857141 | 12685714 | 3 | Type 2 diabetes mellitus |
| 126857141 | 12685714 | 4 | Type 2 diabetes mellitus |
| 126857141 | 12685714 | 5 | Hypertension |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126857141 | 12685714 | Dysuria | |
| 126857141 | 12685714 | Headache |
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 |
|---|---|---|---|---|---|---|
| 126857141 | 12685714 | 1 | 20160628 | 0 |