BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NA

    MDR report key: 382264 · Received March 7, 2002

    Report

    Report Number
    MW1024370
    Event Type
    Injury
    Date Received
    March 7, 2002
    Date of Event
    January 1, 1995
    Report Date
    January 1, 2002
    Manufacturer
    NA
    Product Code
    LYY
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    USER STARTED WORKING IN THE DEPT OF HEALTH AND USED TO VACCINATE PTS. USER DEVELOPED A RASH ALL OVER BODY INCLUDING HEAD BUT USER DID NOT THAT WAS DUE TO THE LATEX GLOVES. USER SUFFERED FROM LATEX ILLNESS DUE TO THE ALLERGY. AS TODAY SKIN HAS A LOT OF PROBLEMS. ALL USER'S BODY IS DEFORMED DUE TO LATEX AND THE CHEMICAL. USER HAS BEEN TO SEVERAL DERMATOLOGISTS BUT NOTHING HELP. ALSO HAD USED SEVERAL MEDICATIONS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NA LATEX GLOVES MADE IN CHINA LYY NA * *

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR Life Threatening| O