FDA Adverse Event Malfunction Summary report: N

MEDROXYPROGESTERONE ACETATE

MDR report key: 23013930 · Received September 10, 2025

Report

Report Number
3014424887-2025-00015
Event Type
Malfunction
Date Received
September 10, 2025
Report Date
November 6, 2025
Manufacturer
LABORATORIES FARMALAN S.A.
Product Code
FMF
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Description of Event or Problem · 0

MEDICATION WAS NOT COMING OUT FROM THE SYRINGE [PRODUCT DELIVERY MECHANISM ISSUE] NO ADVERSE EVENT [NO ADVERSE EVENT]. CASE NARRATIVE: THIS INITIAL SPONTANEOUS REPORT CONCERNS ADVERSE EVENTS OF PRODUCT DELIVERY MECHANISM ISSUE AND NO ADVERSE EVENT IN A FEMALE PATIENT (AGE AND RACE WERE NOT REPORTED) FROM THE UNITED STATES. THE PATIENT'S AGE AT THE TIME OF EXPERIENCE WERE NOT REPORTED. ON 03-SEP-2025, AMNEAL PHARMACEUTICALS RECEIVED INFORMATION FROM PATIENT¿S MOTHER VIA A TELEPHONIC CALL CONCERNING ABOVE MENTIONED ADVERSE EVENT EXPERIENCED BY THE PATIENT WHILE ON AMNEAL'S MEDROXYPROGESTERONE ACETATE. THE PATIENT WAS BEING TREATED WITH MEDROXYPROGESTERONE ACETATE 150/MG/ML (NDC, BATCH NO, EXPIRATION DATE, S/N, DOSE, FREQUENCY AND THERAPY DATES WERE NOT REPORTED). ON AN UNKNOWN DATE THE PATIENT WAS BEING TREATED WITH MEDROXYPROGESTERONE ACETATE 150/MG/ML (NDC: 70121-1480-1, BATCH NO: 240310, EXPIRATION DATE: NOV-2026, S/N: (B)(6) (DOSE, FREQUENCY AND THERAPY DATES WERE NOT REPORTED) FOR AN UNKNOWN INDICATION. CONCURRENT CONDITION, CONCOMITANT MEDICATIONS, SMOKER, ALCOHOLIC, ALLERGY, MEDICAL HISTORY, HISTORY OF PROCEDURES, SURGERIES, LABORATORY TESTS AND RECREATIONAL DRUG USE WERE NOT REPORTED. ON (B)(6) 2025, SHE RECEIVED SEALED MEDICATION FROM THE PHARMACY. ON AN UNKNOWN DATE, WHEN SHE WAS ABOUT TO ADMINISTER THE MEDICATION, SHE NOTICED THAT THE MEDICATION WAS NOT COMING OUT FROM THE SYRINGE. LAST ACTION TAKEN WITH MEDROXYPROGESTERONE ACETATE TO PRODUCT DELIVERY MECHANISM ISSUE AND NO ADVERSE EVENT WERE NOT APPLICABLE. DE-CHALLENGE AND RE-CHALLENGE WERE NOT APPLICABLE. THE OUTCOME OF EVENTS OF PRODUCT DELIVERY MECHANISM ISSUE AND NO ADVERSE EVENT WERE UNKNOWN. THE REPORTER DID NOT PROVIDE THE CAUSALITY OF EVENTS PRODUCT DELIVERY MECHANISM ISSUE AND NO ADVERSE EVENT WITH MEDROXYPROGESTERONE ACETATE. THIS CASE WAS CONSIDERED AS EXPEDITED. THE REPORTABILITY OF THIS CASE WAS SERIOUS. THIS SIGNIFICANT FOLLOW UP (#1) INFORMATION RECEIVED ON 29-OCT-2025. NEW INFORMATION RECEIVED INCLUDES QA INVESTIGATION REPORT, ATTACHED WITH THIS CASE. IT HAS NOT BEEN DETECTED ANY POTENTIAL ROOT CAUSE RELATED WITH THE MANUFACTURING PROCESS PERFORMED IN FARMALAN PREMISES. DURING THE INVESTIGATION IT IS CONFIRMED THAT: ASEPTIC FILLING AND VISUAL INSPECTION PROCESSES OF BATCH 240310 WERE CONFORMING. NO RECORD FOUND IN RELATION TO THE PROBLEM STATEMENT. DOSE CONTROL IPCS REVIEWED AND CONFIRMED TO BE COMPLIANT. THE RELATED MATERIAL BATCHES USED ON THE MANUFACTURING OF BATCH ARE COMPLIANT AND HAVE BEEN USED FOR THE MANUFACTURE OF OTHER RELEASED FINAL UNITS. RETENTION AND REFERENCE SAMPLES ARE COMPLIANT. BATCH RECORD DOCUMENTATION WITH NO ISSUES. INSPECTION OF PARTICLES AND VISIBLE DEFECTS WITH NO ANOMALIES. STABILITY RESULTS REVIEWED WITH NO DETECTED ISSUES. QC RELEASE TESTING (AND SPECIFICALLY CCIT, CONTAINER CONTENT, GLIDING FORCE AND BREAK LOOSE) REVIEWED WITH COMPLIANT RESULTS. APR REVIEWED WITH NO ISSUES. AFTER FINISHING INVESTIGATION, IT WAS CONCLUDED THAT ISSUE IS NOT LIKELY TO HAVE OCCURRED DURING MANUFACTURING PROCESS PERFORMED IN FARMALAN PREMISES. BEARING IN MIND ALL THE PREVIOUS INFORMATION, BATCH 240310 MAINTAINS ITS STATUS AS CONFORMING AS IT HAS NO IMPACT ON PRODUCT QUALITY, EFFICACY OR SAFETY. THE UNITS THAT ARE IN THE MARKET AND THAT HAVE ALREADY BEEN RELEASED ARE NOT IMPACTED FOR THIS COMPLAINT. LAST ACTION TAKEN WITH MEDROXYPROGESTERONE ACETATE TO PRODUCT DELIVERY MECHANISM ISSUE AND NO ADVERSE EVENT WERE NOT APPLICABLE. DE-CHALLENGE AND RE-CHALLENGE WERE NOT APPLICABLE. THE OUTCOME OF EVENTS OF PRODUCT DELIVERY MECHANISM ISSUE AND NO ADVERSE EVENT WERE UNKNOWN. THE REPORTER DID NOT PROVIDE THE CAUSALITY OF EVENTS PRODUCT DELIVERY MECHANISM ISSUE AND NO ADVERSE EVENT WITH MEDROXYPROGESTERONE ACETATE. THIS CASE WAS CONSIDERED AS EXPEDITED. THE REPORTABILITY OF THIS CASE WAS SERIOUS. THIS CASE HAS DEVICE COMPLAINT ASSOCIATED. THE INVESTIGATION REPORT WAS ASSESSED NOT TO HAVE THE POSSIBILITY OF CAUSING ANY FUTURE HARM TO OTHER USERS OF THE PRODUCT.

Description of Event or Problem · 0

MEDICATION WAS NOT COMING OUT FROM THE SYRINGE [PRODUCT DELIVERY MECHANISM ISSUE]. NO ADVERSE EVENT [NO ADVERSE EVENT]. CASE NARRATIVE: THIS INITIAL SPONTANEOUS REPORT CONCERNS ADVERSE EVENTS OF PRODUCT DELIVERY MECHANISM ISSUE AND NO ADVERSE EVENT IN A FEMALE PATIENT (AGE AND RACE WERE NOT REPORTED) FROM THE UNITED STATES. THE PATIENT'S AGE AT THE TIME OF EXPERIENCE WERE NOT REPORTED. ON (B)(6) 2025, AMNEAL PHARMACEUTICALS RECEIVED INFORMATION FROM PATIENT¿S MOTHER VIA A TELEPHONIC CALL CONCERNING ABOVE MENTIONED ADVERSE EVENT EXPERIENCED BY THE PATIENT WHILE ON AMNEAL'S MEDROXYPROGESTERONE ACETATE. THE PATIENT WAS BEING TREATED WITH MEDROXYPROGESTERONE ACETATE 150/MG/ML (NDC, BATCH NO, EXPIRATION DATE, S/N, DOSE, FREQUENCY AND THERAPY DATES WERE NOT REPORTED). ON AN UNKNOWN DATE THE PATIENT WAS BEING TREATED WITH MEDROXYPROGESTERONE ACETATE 150/MG/ML (NDC: 70121-1480-1, BATCH NO: 240310, EXPIRATION DATE: NOV-2026, S/N: (B)(6) (DOSE, FREQUENCY AND THERAPY DATES WERE NOT REPORTED) FOR AN UNKNOWN INDICATION. CONCURRENT CONDITION, CONCOMITANT MEDICATIONS, SMOKER, ALCOHOLIC, ALLERGY, MEDICAL HISTORY, HISTORY OF PROCEDURES, SURGERIES, LABORATORY TESTS AND RECREATIONAL DRUG USE WERE NOT REPORTED. ON (B)(6) 2025, SHE RECEIVED SEALED MEDICATION FROM THE PHARMACY. ON AN UNKNOWN DATE, WHEN SHE WAS ABOUT TO ADMINISTER THE MEDICATION, SHE NOTICED THAT THE MEDICATION WAS NOT COMING OUT FROM THE SYRINGE. LAST ACTION TAKEN WITH MEDROXYPROGESTERONE ACETATE TO PRODUCT DELIVERY MECHANISM ISSUE AND NO ADVERSE EVENT WERE NOT APPLICABLE. DE-CHALLENGE AND RE-CHALLENGE WERE NOT APPLICABLE. THE OUTCOME OF EVENTS OF PRODUCT DELIVERY MECHANISM ISSUE AND NO ADVERSE EVENT WERE UNKNOWN. THE REPORTER DID NOT PROVIDE THE CAUSALITY OF EVENTS PRODUCT DELIVERY MECHANISM ISSUE AND NO ADVERSE EVENT WITH MEDROXYPROGESTERONE ACETATE. THIS CASE WAS CONSIDERED AS EXPEDITED. THE REPORTABILITY OF THIS CASE WAS SERIOUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2506718 MEDROXYPROGESTERONE ACETATE TYPE 2 FMF LABORATORIES FARMALAN S.A. 240310

Patients

Seq Age Sex Outcome Treatment
1 NA Female Other