BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HEPARIN

    MDR report key: 1032535 · Received April 18, 2008

    Report

    Report Number
    MW5006334
    Event Type
    Injury
    Date Received
    April 18, 2008
    Report Date
    April 18, 2008
    Product Code
    NZW
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WV, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    PT WAS ON LONG TERM ANTIBIOTICS AND WAS USING HEPARIN TO FLUSH IV LINE. PATIENT RECEIVED BAXTER HEPARIN (LOT #037069 EXP 09/2008) THAT HAD BEEN RECALLED. AFTER THE ADMINISTRATION OF HEPARIN, THE PT BECAME SHORT OF BREATH. PATIENT REC'D HEPARIN FROM THE HOME HEALTH AGENCY THAT WAS A DIFFERENT MFR AND DID NOT HAVE ANY SHORTNESS OF BREATH. DOSE OR AMOUNT: 5000 UNITS, ROUTE: IV. DATES OF USE: 2008. DIAGNOSIS FOR USE: IV LINE FLUSH. EVENT ABATED AFTER USED STOPPED OR DOSE REDUCED? YES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEPARIN NONE NZW 037069

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR