FDA Adverse Event Malfunction Summary report: N

8022269-2012-00002

MDR report key: 2484564 · Received March 9, 2012

Report

Report Number
8022269-2012-00002
Event Type
Malfunction
Date Received
March 9, 2012
Report Date
January 21, 2012
Manufacturer
JOHNSON & JOHNSON, INC.
PMA / PMN Number
K974629
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER
Health Professional
N

Patients

Seq Age Sex Outcome Treatment
1 21 YR Female