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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127504541 | 12750454 | 1 | I | 20160908 | 20160916 | 20160916 | EXP | US-SA-2016SA168373 | AVENTIS | 67.00 | YR | E | M | Y | 0.00000 | 20160916 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127504541 | 12750454 | 1 | PS | LANTUS SOLOSTAR | INSULIN GLARGINE | 1 | Unknown | UNK | 21081 | ||||||||||
| 127504541 | 12750454 | 2 | SS | LANTUS SOLOSTAR | INSULIN GLARGINE | 1 | Unknown | DOSE:30 UNIT(S) | 6F28O5A | 21081 | QD | ||||||||
| 127504541 | 12750454 | 3 | C | SOLOSTAR | DEVICE | 1 | 0 | ||||||||||||
| 127504541 | 12750454 | 4 | C | SOLOSTAR | DEVICE | 1 | 0 | QD | |||||||||||
| 127504541 | 12750454 | 5 | C | NOVOLOG | INSULIN ASPART | 1 | 0 | TID |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127504541 | 12750454 | 1 | Diabetes mellitus |
| 127504541 | 12750454 | 2 | Diabetes mellitus |
| 127504541 | 12750454 | 3 | Diabetes mellitus |
| 127504541 | 12750454 | 4 | Diabetes mellitus |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127504541 | 12750454 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127504541 | 12750454 | Intentional product misuse | |
| 127504541 | 12750454 | Renal disorder |
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 |
|---|---|---|---|---|---|---|
| 127504541 | 12750454 | 2 | 2016 | 0 | ||
| 127504541 | 12750454 | 4 | 2016 | 0 |