BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SENSIGRIP LATEX TALC FREE

    MDR report key: 277599 · Received May 11, 2000

    Report

    Report Number
    MW1018880
    Event Type
    Injury
    Date Received
    May 11, 2000
    Date of Event
    May 25, 1999
    Report Date
    May 3, 2000
    Manufacturer
    TILLOTSON HEALTHCARE CORP.
    Product Code
    KGO
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    GU, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    ALLERGIC REACTION TO FOOD EXPERIENCED: GENERALIZED ITCHY RASH, NUMBNESS OF TONGUE, FLUSHING, SOB. ABOUT TWO WEEKS LATER ANOTHER ALLERGIC REACTION TO FOOD. AFTER THE TWO EVENTS RPTR EXPERIENCED MANY DIFFERENT SYMPTOMS - ITCHY, WATERY EYES, NASAL CONGESTION, ITCHING AROUND THE EARS ESPECIALLY MIDDLE OF THE DAY, GENERALIZED ITCHING IN THE EVENINGS. TACHYCARDIA, (SOB) SHORTNESS OF BREATH, SENSITIVE TO SCENTS (VERY BOTHERSOME), COULD NOT TOLERATE WEARING CHEMO MASK, FELT SMOTHERED. TWICE AT WORK FELT FAINT WITH FAST HEART RATE AND SHORTNESS OF BREATH, RIGHT HAND WITH ECZEMA (IT BLISTERED AND CRACKED). ALSO, ECZEMA AT ELASTIC AREA OF UNDERGARMENTS. WHENEVER RPTR ATE RPTR EXPERIENCED CHOKING SENSATION IN THROAT AND DIFFICULTY BREATHING SO WOULD STOP EATING AND TAKE BENADRYL CAPLETS. BANANAS WOULD MAKE RPTR'S THROAT TIGHT AND MOUTH DRY. TWO EPISODES IN THEATRE OF DIZZINESS AND FAST HEART RATE AND SHORTNESS OF BREATH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SENSIGRIP LATEX TALC FREE SURGEON GLOVES 50 PR BOX SIZE 7 1/2 KGO TILLOTSON HEALTHCARE CORP. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 33 YR Life Threatening| R