BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HEPARIN 100 UNITS/ML

    MDR report key: 1037567 · Received May 1, 2008

    Report

    Report Number
    MW5006530
    Event Type
    Injury
    Date Received
    May 1, 2008
    Date of Event
    April 11, 2008
    Report Date
    May 1, 2008
    Product Code
    NZW
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A FEMALE ADMITTED TO HOSPITAL FROM HEMATOLOGY/ONCOLOGY CLINIC AFTER EXPERIENCING RIGORS AND FEVER AFTER HER CATHETER PORT WAS FLUSHED WITH SALINE AND HEPARIN FLUSH -100UNITS/ML. HER PMH INCLUDES OVARIAN CANCER, S/P CHEMOTHERAPY. TUMOR IS NOW SLOW GROWING AND PT IS NOT RECEIVING CHEMO. SHE CAME TO THE CLINIC FOR A BLOOD DRAW AND CATH PORT FLUSH. PMH IS SIGNIFICANT FOR A RECENT - IN 2008 - BLOOD CULTURE - + - COAG NEGATIVE STAPH. UPON THIS ADMISSION, HER BLOOD CULTURES GREW E COLI, HOWEVER, HER CATH TIP CULTURE WAS ---.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEPARIN 100 UNITS/ML NONE NZW

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Hospitalization| S