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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126909091 | 12690909 | 1 | I | 2001 | 20160817 | 20160826 | 20160826 | EXP | AT-ELI_LILLY_AND_COMPANY-AT201608009890 | ELI LILLY AND CO | 57.00 | YR | M | Y | 0.00000 | 20160824 | CN | AT | AT |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126909091 | 12690909 | 1 | PS | HUMALOG | INSULIN LISPRO | 1 | Subcutaneous | UNK, UNKNOWN | 20563 | ||||||||||
| 126909091 | 12690909 | 2 | SS | HUMULIN N | INSULIN HUMAN | 1 | Subcutaneous | UNK, UNKNOWN | 0 | ||||||||||
| 126909091 | 12690909 | 3 | SS | IBUPROFEN. | IBUPROFEN | 1 | Unknown | UNK, UNKNOWN | U | U | 0 | ||||||||
| 126909091 | 12690909 | 4 | C | LOVENOX | ENOXAPARIN SODIUM | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126909091 | 12690909 | 1 | Diabetes mellitus |
| 126909091 | 12690909 | 2 | Diabetes mellitus |
| 126909091 | 12690909 | 3 | Toothache |
| 126909091 | 12690909 | 4 | Cerebrovascular accident |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126909091 | 12690909 | HO |
| 126909091 | 12690909 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126909091 | 12690909 | Cerebrovascular accident | |
| 126909091 | 12690909 | Diplopia | |
| 126909091 | 12690909 | Dizziness | |
| 126909091 | 12690909 | Gait disturbance | |
| 126909091 | 12690909 | Hypertension | |
| 126909091 | 12690909 | Post-traumatic stress disorder | |
| 126909091 | 12690909 | Suicidal ideation | |
| 126909091 | 12690909 | Tinnitus | |
| 126909091 | 12690909 | Toothache |
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 |
|---|---|---|---|---|---|---|
| 126909091 | 12690909 | 1 | 1986 | 0 | ||
| 126909091 | 12690909 | 2 | 1986 | 0 |