BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LIDOCAINE DERMAL

    MDR report key: 2155257 · Received July 5, 2011

    Report

    Report Number
    MW5021268
    Event Type
    Injury
    Date Received
    July 5, 2011
    Date of Event
    June 5, 2011
    Report Date
    July 5, 2011
    Product Code
    DIO
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    URINE DRUG SCREEN TESTED POSITIVE FOR COCAINE BUT I ADAMANTLY DENY THAT I HAD SMOKED, INHALED, INGESTED OR IVD SAID DRUG. I WAS NEVER ALLOWED TO CONTEST THIS TEST'S RESULT AND SUBSEQUENTLY DISCHARGED FROM THE PRACTICE. I AM TYPING THIS IN FEAR THAT AFTER THE AMOUNT OF MEDICATION I WAS ON, I AM FACING BOTH SEVERE PHYSICAL AND MENTAL SUFFERING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIDOCAINE DERMAL DIO

    Patients

    Seq Age Sex Outcome Treatment
    1 36 YR Life Threatening| O