BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDI-JECTOR

    MDR report key: 187880 · Received September 18, 1998

    Report

    Report Number
    2182861-1998-00003
    Event Type
    Other
    Date Received
    September 18, 1998
    Date of Event
    June 22, 1998
    Report Date
    July 6, 1998
    Manufacturer
    MEDI-JECT CORP.
    Product Code
    KZE
    Report Source
    Manufacturer report
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    EXPERIENCED A SEVERE HYPOGLYCERIC REACTION. BLOOD SUGARS RANGING 20-30'S. THE AMBULANCE WAS CALLED BLOOD GLUCOSE LEVEL WAS STABILIZED. NO ADDITIONAL INTERVENTION WAS REQUIRED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR