BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HEPARIN

    MDR report key: 1063495 · Received June 19, 2008

    Report

    Report Number
    MW5007377
    Event Type
    Injury
    Date Received
    June 19, 2008
    Date of Event
    June 19, 2008
    Report Date
    June 19, 2008
    Product Code
    NZW
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TN, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    PT PRESENTED WITH EOSINOPHILIA, RENAL FAILURE, AND RASH AFTER RECEIVING VANCOMYCIN IN HOME HEALTH SETTING VIA PICC LINE. MD EXPRESSES CONCERN PT MAY HAVE RECEIVED DOSE-S- OF CONTAMINATED HEPARIN PRODUCT WHILE AT HOME. DOSE OR AMOUNT: FLUSH. DATES OF USE: 2008.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEPARIN FLUSH NZW

    Patients

    Seq Age Sex Outcome Treatment
    1 53 YR Hospitalization