BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LATEX GLOVES

    MDR report key: 3851273 · Received May 30, 2014

    Report

    Report Number
    MW5036441
    Event Type
    Injury
    Date Received
    May 30, 2014
    Date of Event
    May 17, 2014
    Report Date
    May 29, 2014
    Product Code
    LYY
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    ON (B)(6) 2014 MY BOYFRIEND AND I WERE EATING AT (B)(6) WHEN I HAD AN ANAPHYLACTIC REACTION. INITIALLY, I WAS EATING A STUFFED MUSHROOM WHEN MY THROAT FELT TIGHT. THE WAITRESS TOOK IT BACK AND WHEN I QUESTIONED HER ABOUT HOW IT WAS COOKED, SHE SAID LATEX GLOVES ARE WORN IN THE KITCHEN. I ASKED FOR A SALAD TO BE MADE SEPARATELY WITHOUT GLOVES. I BEGAN TO EAT THAT AND MY THROAT STARTED CLOSING TIGHTER AND I HAD HIVES ON MY NECK AND CHEST. I TOOK BENADRYL AND DID MY EPI PEN WHILE 911 WAS CALLED. I HAVE A SEVERE LATEX ALLERGY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    319728 LATEX GLOVES LATEX LYY

    Patients

    Seq Age Sex Outcome Treatment
    1 31 YR Hospitalization| L| R