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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127643801 | 12764380 | 1 | I | 201606 | 20160908 | 20160920 | 20160920 | EXP | US-ELI_LILLY_AND_COMPANY-US201609003381 | ELI LILLY AND CO | 67.42 | YR | F | Y | 0.00000 | 20160920 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127643801 | 12764380 | 1 | PS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | UNK, PRN | 20563 | INJECTION | |||||||||
| 127643801 | 12764380 | 2 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | UNK, PRN | C499509H | 20563 | INJECTION | ||||||||
| 127643801 | 12764380 | 3 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | UNK, PRN | 20563 | INJECTION | |||||||||
| 127643801 | 12764380 | 4 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | Unknown | UNK, PRN | 0 | INJECTION | |||||||||
| 127643801 | 12764380 | 5 | SS | HUMALOG MIX75/25 | INSULIN LISPRO | 1 | 0 | INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127643801 | 12764380 | 1 | Type 1 diabetes mellitus |
| 127643801 | 12764380 | 2 | Type 2 diabetes mellitus |
| 127643801 | 12764380 | 4 | Type 1 diabetes mellitus |
| 127643801 | 12764380 | 5 | Type 2 diabetes mellitus |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127643801 | 12764380 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127643801 | 12764380 | Blood glucose increased | |
| 127643801 | 12764380 | Drug dose omission | |
| 127643801 | 12764380 | Fall | |
| 127643801 | 12764380 | Gait disturbance | |
| 127643801 | 12764380 | Glycosylated haemoglobin increased | |
| 127643801 | 12764380 | Musculoskeletal pain | |
| 127643801 | 12764380 | Nervousness | |
| 127643801 | 12764380 | Rotator cuff syndrome | |
| 127643801 | 12764380 | Visual impairment |
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 |
|---|---|---|---|---|---|---|
| 127643801 | 12764380 | 1 | 2015 | 0 | ||
| 127643801 | 12764380 | 4 | 2015 | 0 |