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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126858941 | 12685894 | 1 | I | 20160205 | 20160825 | 20160825 | PER | US-NOVOPROD-480469 | NOVO NORDISK | 41.00 | YR | A | F | Y | 0.00000 | 20160825 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126858941 | 12685894 | 1 | PS | VICTOZA | LIRAGLUTIDE | 1 | Subcutaneous | UNK | Y | U | UNKNOWN | 22341 | SOLUTION FOR INJECTION | ||||||
| 126858941 | 12685894 | 2 | SS | VICTOZA | LIRAGLUTIDE | 1 | Subcutaneous | UNK | Y | U | UNKNOWN | 22341 | SOLUTION FOR INJECTION | ||||||
| 126858941 | 12685894 | 3 | C | NOVOLOG | INSULIN ASPART | 1 | Subcutaneous | UNK | UNKNOWN | 0 | SOLUTION FOR INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126858941 | 12685894 | 1 | Type 1 diabetes mellitus |
| 126858941 | 12685894 | 3 | Type 1 diabetes mellitus |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126858941 | 12685894 | Blood glucose decreased | |
| 126858941 | 12685894 | Blood glucose increased | |
| 126858941 | 12685894 | Glycosylated haemoglobin increased | |
| 126858941 | 12685894 | Off label use |
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 |
|---|---|---|---|---|---|---|
| 126858941 | 12685894 | 1 | 201404 | 201504 | 0 | |
| 126858941 | 12685894 | 2 | 201507 | 0 |