BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HYLAN G-F 20

    MDR report key: 2244022 · Received September 6, 2011

    Report

    Report Number
    MW5022174
    Event Type
    Injury
    Date Received
    September 6, 2011
    Date of Event
    August 3, 2011
    Report Date
    September 6, 2011
    Product Code
    MOZ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PATIENT HAD INJECTION ON (B)(6) 2011. PATIENT REPORTS ADR ON (B)(6) 2011. PATIENT TAKING OTC BENADRYL WITHOUT RELIEF. PATIENT SEEN IN EMERGENCY ROOM ON (B)(6) 2011. SYMPTOMS: RASH, URTICARIA PRURITUS. DOXEPIN DOSE: 10, UNITS: MG, FREQ: PRN, ROUTE: PO, DOSE: 48 MG.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HYLAN G-F 20 INJECTION MOZ

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Required Intervention