FDA Adverse Event Injury Summary report: N

REMUNITY PUMP FOR REMODULIN

MDR report key: 21101378 · Received January 8, 2025

Report

Report Number
MW5164389
Event Type
Injury
Date Received
January 8, 2025
Report Date
January 3, 2025
Manufacturer
DEKA RESEARCH & DEVELOPMENT CORP.
Product Code
QJY
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
MN, US
Reporter Occupation
UNKNOWN
Health Professional
*

Narratives

Description of Event or Problem · 0

PATIENT IS PREGNANT [MATERNAL EXPOSURE DURING PREGNANCY], TIRED [TIREDNESS], PAIN, REDNESS, AND SWELLING AT HER SITE; [SITE] RED, PAINFUL [INFUSION SITE PAIN], PAIN, REDNESS, AND SWELLING AT HER SITE; [SITE] RED, PAINFUL [INFUSION SITE REDNESS], PAIN, REDNESS, AND SWELLING AT HER SITE [INFUSION SITE SWELLING], NAUSEA [NAUSEA], HEADACHES [HEADACHE], ABDOMINAL SITE IS DUE TO CHANGE AS IT WAS FEELING HOT AND ITCHY [INFUSION SITE WARMTH], EXCESSIVE BLEEDING FROM SUBCUTANEOUS REMUNITY REMODULIN SITE; [SITE] HAS YELLOW AND WHITE DRAINAGE WITH BLOOD [INFUSION SITE BLEEDING], GROIN AND VAGINAL PAIN [GROIN PAIN], GROIN AND VAGINAL PAIN [VAGINAL PAIN] [SITE], RED, PAINFUL AND YELLOW AND WHITE DRAINAGE WITH BLOOD [INFUSION SITE DISCHARGE]. HER SITES ONLY LAST AROUND 2 WEEKS [DEVICE MAINTENANCE ISSUE]. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1694577 REMUNITY PUMP FOR REMODULIN INFUSION PUMP, DRUG SPECIFIC, PHARMACY-FILLED QJY DEKA RESEARCH & DEVELOPMENT CORP. REMUNITY

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown