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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126952981 | 12695298 | 1 | I | 201607 | 20160804 | 20160829 | 20160829 | PER | US-ELI_LILLY_AND_COMPANY-US201608003513 | ELI LILLY AND CO | 42.86 | YR | F | Y | 0.00000 | 20160829 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126952981 | 12695298 | 1 | PS | TRULICITY | DULAGLUTIDE | 1 | Unknown | 0.75 MG, WEEKLY (1/W) | U | C546797AA | 125469 | .75 | MG | INJECTION | /wk | ||||
| 126952981 | 12695298 | 2 | SS | NEURONTIN | GABAPENTIN | 1 | Unknown | 100 MG, OTHER | 0 | 100 | MG | ||||||||
| 126952981 | 12695298 | 3 | SS | NEURONTIN | GABAPENTIN | 1 | Unknown | 400 MG, OTHER | 0 | 400 | MG | ||||||||
| 126952981 | 12695298 | 4 | SS | BACTRIM | SULFAMETHOXAZOLETRIMETHOPRIM | 1 | Unknown | UNK, UNKNOWN | 0 | ||||||||||
| 126952981 | 12695298 | 5 | C | DEPAKOTE | DIVALPROEX SODIUM | 1 | Unknown | 500 DF, TID | 0 | 500 | DF | TID | |||||||
| 126952981 | 12695298 | 6 | C | DEPAKOTE | DIVALPROEX SODIUM | 1 | Unknown | 350 DF, UNKNOWN | 0 | 350 | DF | ||||||||
| 126952981 | 12695298 | 7 | C | TOPAMAX | TOPIRAMATE | 1 | Unknown | UNK, BID | 0 | BID | |||||||||
| 126952981 | 12695298 | 8 | C | TRANXENE T-TAB | CLORAZEPATE DIPOTASSIUM | 1 | Unknown | 3.75 MG, EVERY 4 HRS | 0 | 3.75 | MG | Q4H | |||||||
| 126952981 | 12695298 | 9 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Unknown | 500 MG, QD | 0 | 500 | MG | QD | |||||||
| 126952981 | 12695298 | 10 | C | GLIMEPIRIDE. | GLIMEPIRIDE | 1 | Unknown | 2 MG, QD | 0 | 2 | MG | QD | |||||||
| 126952981 | 12695298 | 11 | C | SYNTHROID | LEVOTHYROXINE SODIUM | 1 | Unknown | 50 MG, QD | 0 | 50 | MG | QD | |||||||
| 126952981 | 12695298 | 12 | C | CRESTOR | ROSUVASTATIN CALCIUM | 1 | Unknown | 20 MG, OTHER | 0 | 20 | MG | ||||||||
| 126952981 | 12695298 | 13 | C | CLARITIN | LORATADINE | 1 | Unknown | UNK, UNKNOWN | 0 | ||||||||||
| 126952981 | 12695298 | 14 | C | VITAMIN D /00107901/ | ERGOCALCIFEROL | 1 | Unknown | 4000 MG, QD | 0 | 4000 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126952981 | 12695298 | 1 | Type 2 diabetes mellitus |
| 126952981 | 12695298 | 2 | Product used for unknown indication |
| 126952981 | 12695298 | 4 | Product used for unknown indication |
| 126952981 | 12695298 | 5 | Product used for unknown indication |
| 126952981 | 12695298 | 7 | Product used for unknown indication |
| 126952981 | 12695298 | 8 | Product used for unknown indication |
| 126952981 | 12695298 | 9 | Product used for unknown indication |
| 126952981 | 12695298 | 10 | Product used for unknown indication |
| 126952981 | 12695298 | 11 | Product used for unknown indication |
| 126952981 | 12695298 | 12 | Product used for unknown indication |
| 126952981 | 12695298 | 13 | Product used for unknown indication |
| 126952981 | 12695298 | 14 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126952981 | 12695298 | Anuria | |
| 126952981 | 12695298 | Dysstasia | |
| 126952981 | 12695298 | Feeling abnormal | |
| 126952981 | 12695298 | Fluid intake reduced | |
| 126952981 | 12695298 | Fungal infection | |
| 126952981 | 12695298 | Gait disturbance | |
| 126952981 | 12695298 | Overdose | |
| 126952981 | 12695298 | Somnolence |
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 |
|---|---|---|---|---|---|---|
| 126952981 | 12695298 | 1 | 201605 | 0 |