BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HEPARIN

    MDR report key: 1022048 · Received March 31, 2008

    Report

    Report Number
    MW5006061
    Event Type
    Malfunction
    Date Received
    March 31, 2008
    Date of Event
    March 10, 2008
    Report Date
    March 31, 2008
    Product Code
    NZW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    PT DEVELOPED PNEUMONIA, WAS HOSPITALIZED FOR TEN DAYS IN 2008. DOSE OR AMOUNT: 5ML. FREQUENCY: UD. ROUTE: IV. DATES OF USE: IV ACCESS MAINTENANCE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEPARIN 100 UNITS/ML (5ML IN 12ML SYRINGE) NZW H107322

    Patients

    Seq Age Sex Outcome Treatment
    1