FDA Adverse Event
Injury
Summary report: N
CT SCAN
MDR report key: 15499295
·
Received September 27, 2022
Report
- Report Number
- MW5112318
- Event Type
- Injury
- Date Received
- September 27, 2022
- Date of Event
- June 18, 2022
- Report Date
- September 25, 2022
- Manufacturer
- UNK
- Product Code
- JAK
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CA, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
CT SCAN OF BRAIN, I WAS SCANNED MULTIPLE TIMES AT ONCE, EACH TIME AT A OVERDOSE OF 15 MSV. I WAS SCARED AT LEAST SIX TIMES IN ONE SITTING AT THAT DOSE EQUALING AT LEAST 90 MSV. I AM SUFFERING GREAT SIDE EFFECTS AND HARM. EXCRUCIATING PAIN IN MY BRAIN CONSTANTLY, ALONG WITH OTHER SYMPTOMS AND GETTING WORSE. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2863883 | CT SCAN | SYSTEM, X-RAY, TOMOGRAPHY, COMPUTED | JAK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 41 YR | Female | Life Threatening| S |