BEUDAMED
    FDA Adverse Event Injury Summary report: N

    N/A

    MDR report key: 17613 · Received August 11, 1994

    Report

    Report Number
    17613
    Event Type
    Injury
    Date Received
    August 11, 1994
    Date of Event
    April 30, 1994
    Report Date
    May 5, 1994
    Manufacturer
    N/A
    Adverse Event
    Yes
    Report Source
    User Facility report

    Narratives

    Description of Event or Problem · 1

    10 MINUTES AFTER INFUSION OF INFED (100MG 2CC IV) PT. C/O BURNING SENSATION IMMEDIATELY FOLLOWED BY A CARDIAC & RESPIRATORY ARREST. CPR INITIATED 911 CALLED, PT. TRANSPORTED TO E.R.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 N/A N/A N/A

    Patients

    Seq Age Sex Outcome Treatment
    1 63 YR Hospitalization| L| R