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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127764691 | 12776469 | 1 | I | 2002 | 20160912 | 20160923 | 20160923 | EXP | US-ELI_LILLY_AND_COMPANY-US201609004562 | ELI LILLY AND CO | 0.00 | M | Y | 0.00000 | 20160923 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127764691 | 12776469 | 1 | PS | HUMULIN N | INSULIN HUMAN | 1 | Unknown | 16 U, UNKNOWN | 18780 | 16 | IU | INJECTION | |||||||
| 127764691 | 12776469 | 2 | SS | HUMULIN N | INSULIN HUMAN | 1 | 18780 | INJECTION | |||||||||||
| 127764691 | 12776469 | 3 | SS | HUMULIN R | INSULIN HUMAN | 1 | Unknown | 3 U, QD | 0 | 3 | IU | INJECTION | QD | ||||||
| 127764691 | 12776469 | 4 | SS | HUMULIN R | INSULIN HUMAN | 1 | 0 | INJECTION | |||||||||||
| 127764691 | 12776469 | 5 | SS | HUMULIN 70/30 | INSULIN HUMAN | 1 | Unknown | UNK, UNKNOWN | 0 | INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127764691 | 12776469 | 1 | Type 2 diabetes mellitus |
| 127764691 | 12776469 | 2 | Type 1 diabetes mellitus |
| 127764691 | 12776469 | 3 | Type 1 diabetes mellitus |
| 127764691 | 12776469 | 4 | Type 2 diabetes mellitus |
| 127764691 | 12776469 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127764691 | 12776469 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127764691 | 12776469 | Blood insulin decreased | |
| 127764691 | 12776469 | Cardiac disorder | |
| 127764691 | 12776469 | Hernia | |
| 127764691 | 12776469 | Incorrect drug administration duration | |
| 127764691 | 12776469 | Renal impairment | |
| 127764691 | 12776469 | Renal mass |
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 |
|---|---|---|---|---|---|---|
| 127764691 | 12776469 | 1 | 2004 | 0 | ||
| 127764691 | 12776469 | 3 | 2004 | 0 |