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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126917111 | 12691711 | 1 | I | 20160817 | 20160826 | 20160826 | PER | US-ELI_LILLY_AND_COMPANY-US201608009524 | ELI LILLY AND CO | 0.00 | M | Y | 0.00000 | 20160826 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126917111 | 12691711 | 1 | PS | HUMULIN R | INSULIN HUMAN | 1 | Subcutaneous | 58 U, QD | 18780 | 58 | IU | INJECTION | QD | ||||||
| 126917111 | 12691711 | 2 | SS | HUMULIN R | INSULIN HUMAN | 1 | Subcutaneous | 58 U, QD | C477809A | 18780 | 58 | IU | INJECTION | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126917111 | 12691711 | 1 | Type 1 diabetes mellitus |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126917111 | 12691711 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126917111 | 12691711 | Blood glucose decreased | |
| 126917111 | 12691711 | Blood glucose increased | |
| 126917111 | 12691711 | Wrong technique in product usage process |
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 |
|---|---|---|---|---|---|---|
| 126917111 | 12691711 | 1 | 200910 | 0 |