Report
Version of Safety Report ID1Safety Report ID11464053primarysourcecountryUSoccurcountryUStransmissiondateformat102transmissiondate25/11/2015reporttype1serious2receivedateformat102Date Received31/08/2015receiptdateformat102Date Last Updated31/08/2015fulfillexpeditecriteria2companynumbUS-ELI_LILLY_AND_COMPANY-US201106003230duplicate1Report Duplicate
duplicatesourceELI LILLY AND COduplicatenumbUS-ELI_LILLY_AND_COMPANY-US201106003230Primary Source
reportercountryUSqualification5Sender
sendertype2senderorganizationFDA-Public UseReceiver
receivertype6receiverorganizationFDAPatient
Weight73.9SexFemaleContents