BEUDAMED
    FDA Adverse Event Death Summary report: N

    SYRINGE TUBERCU 27GX1/2 1CC

    MDR report key: 12496091 · Received September 17, 2021

    Report

    Report Number
    MW5104053
    Event Type
    Death
    Date Received
    September 17, 2021
    Date of Event
    September 13, 2021
    Report Date
    September 16, 2021
    Manufacturer
    BECTON DICKINSON AND COMPANY
    Product Code
    FMF
    UDI-DI
    08290309623
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    PATIENT HUSBAND REPORTED THAT PATIENT DECEASED ON (B)(6) 2021.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1390479 SYRINGE TUBERCU 27GX1/2 1CC SYRINGE, PISTON FMF BECTON DICKINSON AND COMPANY N/A 08290309623

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Death