BEUDAMED
    FDA Adverse Event Other Summary report: N

    POWDERED VINYL GLOVES

    MDR report key: 480588 · Received August 28, 2003

    Report

    Report Number
    1423507-2003-00110
    Event Type
    Other
    Date Received
    August 28, 2003
    Date of Event
    May 22, 2003
    Report Date
    August 28, 2003
    Manufacturer
    CARDINAL HEALTH
    Product Code
    LYZ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    EXPERIENCING ITCHING, NAUSEA, STOMACH PAIN, SHAKING, SOB (OTHER SYMPTOMS). REC'D EPI INJECTION AND WENT TO THE E.R.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 POWDERED VINYL GLOVES POWDERED VINYL GLOVES LYZ CARDINAL HEALTH UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 Other