BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SYRINGE, PISTON

    MDR report key: 22523292 · Received July 16, 2025

    Report

    Report Number
    MW5172786
    Event Type
    Malfunction
    Date Received
    July 16, 2025
    Date of Event
    July 14, 2025
    Report Date
    July 15, 2025
    Manufacturer
    NOVO NORDISK INC.
    Product Code
    FMF
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    GA, US
    Reporter Occupation
    PATIENT
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    THE REPORTER STATED THAT WHEN SHE WAS ABOUT TO TAKE OZEMPIC SEMAGLUTIDE INJECTION, THE SYRINGE WAS LEAKING, HENCE SHE COULD NOT TAKE THE MEDICATION. SHE ALSO STATED THAT THIS HAPPENED TWICE WITH HER. PATIENT CODE:4582. DEVICE CODE: 1354. REFERENCE REPORT: MW5172787.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1561377 SYRINGE, PISTON SYRINGE, PISTON FMF NOVO NORDISK INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Female OZEMPIC SEMAGLUTIDE INJECTION.