BEUDAMED
    FDA Adverse Event Injury Summary report: N

    VINYL GLOVE

    MDR report key: 12091 · Received March 10, 1994

    Report

    Report Number
    MW1001132
    Event Type
    Injury
    Date Received
    March 10, 1994
    Date of Event
    January 1, 1993
    Report Date
    February 15, 1994
    Manufacturer
    UNKNOWN
    Product Code
    LYZ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    RPTR HAS DEVELOPED AN ALLERGY TO LATEX AND VINYL. ALLERGY MANIFESTED BY URTICARIA, DERMATITIS, RASH, GI UPSET, SINUS PROBLEMS AND DIFFICULTY BREATHING (SEVERE ASTHMA). (SAME PT REFERRED TO IN MW1001121.)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VINYL GLOVE LYZ UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR Other| R