FDA Adverse Event
Injury
Summary report: N
EUFLEXXA
MDR report key: 11752148
·
Received April 29, 2021
Report
- Report Number
- MW5101078
- Event Type
- Injury
- Date Received
- April 29, 2021
- Date of Event
- October 28, 2020
- Report Date
- April 27, 2021
- Manufacturer
- FERRING PHARMACEUTICALS INC.
- Product Code
- MOZ
- UDI-DI
- 55566410001
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- PA, US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 1
PATIENT REPORTED BEING HOSPITALIZED ABOUT A MONTH AGO DUE TO HAVING ACID REFLUX AND A MODERATE CASE OF COPD. PATIENT ALSO HAD A PACEMAKER IMPLANTED ON (B)(6) 2020.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 646145 | EUFLEXXA | ACID, HYALURONIC, INTRAARTICULAR | MOZ | FERRING PHARMACEUTICALS INC. | 55566410001 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 79 YR | Hospitalization |