BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDI-JECTOR

    MDR report key: 144737 · Received January 15, 1998

    Report

    Report Number
    2182861-1997-00014
    Event Type
    Injury
    Date Received
    January 15, 1998
    Date of Event
    November 14, 1997
    Report Date
    November 19, 1997
    Manufacturer
    MEDI-JECT CORP.
    Product Code
    KZE
    Report Source
    Manufacturer report
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    INITIATED MEDI-JECTOR USE ON 11/10/97. EXPERIENCED 3 EPISODES OF HYPOGLYCEMIC REACTIONS THE WEEK OF 11/10/97 RESULTING IN ONE ADMISSION TO THE EMERGENCY ROOM. EXPERIENCED EPILEPTIC SEIZURES AND BLOOD SUGARS RANGING IN THE 20'S. WAS TREATED AND RELEASED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDI-JECTOR CHOICE NEEDLE-FREE DELIVERY SYSTEM KZE MEDI-JECT CORP. 300036-001 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 28 YR Hospitalization