BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FORTEO PEN

    MDR report key: 443566 · Received February 14, 2003

    Report

    Report Number
    MW1027572
    Event Type
    Injury
    Date Received
    February 14, 2003
    Date of Event
    February 14, 2003
    Report Date
    February 14, 2003
    Manufacturer
    ELI LILLY AND COMPANY
    Product Code
    FMF
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NE, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    USING FORTEO PEN MADE BY ELI LILLY AND CO. INJECTION GIVEN TO PT. NURSE WENT TO REMOVE NEEDLE PER MANUFACTURER INSTRUCTION AND NEEDLE WENT THROUGH PLASTIC CAP STICKING NURSE IN RIGHT THUMB. INJURY OCCURRED WHEN NURSE RE-CAPPED NEEDLE FOLLOWING MANUFACTURER INSTRUCTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FORTEO PEN INJECTION PEN FMF ELI LILLY AND COMPANY YL0480FSAMX 2072757 NEEDLES

    Patients

    Seq Age Sex Outcome Treatment
    1 33 YR Hospitalization