BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CT SCAN

    MDR report key: 2875334 · Received December 11, 2012

    Report

    Report Number
    MW5028064
    Event Type
    Injury
    Date Received
    December 11, 2012
    Date of Event
    November 27, 2012
    Report Date
    December 3, 2012
    Product Code
    JAK
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CT, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I WAS EXPOSED TO A VERY HIGH LEVEL OF RADIATION WHILE HAVING A CT SCAN PERFORMED ON MY LEFT SHOULDER ON (B)(6) 2012. THE SCAN WAS DONE AT (B)(6) CENTER. I AM AFRAID AND WORRIED THAT THE 65.2 MGY WAS ABOVE THE SAFE LEVEL FOR RADIATION EXPOSURE FROM A CT SCAN OF SHOULDER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CT SCAN JAK

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR Life Threatening