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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126965311 | 12696531 | 1 | I | 20160823 | 20160830 | 20160830 | PER | US-ASTRAZENECA-2016SE91349 | ASTRAZENECA | 0.00 | F | Y | 55.80000 | KG | 20160830 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126965311 | 12696531 | 1 | PS | SYMLIN | PRAMLINTIDE ACETATE | 1 | Subcutaneous | 273960 | UG | U | U | 21332 | 60 | UG | INJECTION | TID | |||
| 126965311 | 12696531 | 2 | C | LANTUS | INSULIN GLARGINE | 1 | Subcutaneous | 0 | 22 | IU/KG | QD | ||||||||
| 126965311 | 12696531 | 3 | C | NOVOLOG | INSULIN ASPART | 1 | Subcutaneous | 10 UNITS DOSAGE SPACED THROUGHOUT THE DAY BEFORE BREAKFAST,LUNCH, DINNER | UNKNOWN | 0 | |||||||||
| 126965311 | 12696531 | 4 | C | JARDIANCE | EMPAGLIFLOZIN | 1 | Oral | UNKNOWN | 0 | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126965311 | 12696531 | 1 | Type 1 diabetes mellitus |
| 126965311 | 12696531 | 2 | Type 1 diabetes mellitus |
| 126965311 | 12696531 | 3 | Type 1 diabetes mellitus |
| 126965311 | 12696531 | 4 | Type 1 diabetes mellitus |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126965311 | 12696531 | Weight decreased | |
| 126965311 | 12696531 | Weight increased |
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 |
|---|---|---|---|---|---|---|
| 126965311 | 12696531 | 1 | 201204 | 201606 | 0 | |
| 126965311 | 12696531 | 4 | 201605 | 0 |