Report
Version of Safety Report ID3Safety Report ID11218856primarysourcecountryUSoccurcountryUStransmissiondateformat102transmissiondate28/04/2017reporttype1serious1seriousnessother1receivedateformat102Date Received25/06/2015receiptdateformat102Date Last Updated06/03/2017fulfillexpeditecriteria1companynumbUS-ELI_LILLY_AND_COMPANY-US201506006839duplicate1Report Duplicate
duplicatesourceELI LILLY AND COduplicatenumbUS-ELI_LILLY_AND_COMPANY-US201506006839Primary Source
reportercountryUSqualification1Sender
sendertype2senderorganizationFDA-Public UseReceiver
receivertype6receiverorganizationFDAPatient
Weight101.59SexFemaleContents
- Reaction
- Drug
- 1)
- activesubstance
- openFDA Info on Medication
- 2)
- activesubstance
- openFDA Info on Medication
- 3)
- activesubstance
- openFDA Info on Medication
- 4)
- activesubstance
- openFDA Info on Medication
- 5)
- activesubstance
- openFDA Info on Medication
- 6)
- activesubstance
- openFDA Info on Medication
- 7)
- activesubstance
- 8)
- activesubstance
- openFDA Info on Medication
- 9)
- activesubstance
- openFDA Info on Medication
- 10)
- activesubstance
- 11)
- activesubstance
- openFDA Info on Medication
- 12)
- activesubstance