BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SYNVISC ONE

    MDR report key: 4916365 · Received July 9, 2015

    Report

    Report Number
    MW5044176
    Event Type
    Injury
    Date Received
    July 9, 2015
    Date of Event
    July 7, 2015
    Report Date
    July 8, 2015
    Manufacturer
    GENZYME
    Product Code
    MOZ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    PT DOES NOT WANT SYNVISC ONE FILLED BECAUSE INSURANCE WON'T COVER AND HE FELT MEDICATION WAS INEFFECTIVE THE LAST TIME HE RECEIVED IT. AMOUNT: 48 MG; FREQUENCY: "G6#" MONTHS; ROUTE: INTRA-ARTICULARLY. DATE OF USED: 06/2015 TO UNKNOWN. REASON FOR USE: OSTEOARTHRITIS OF THE KNEE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    444822 SYNVISC ONE SYNVISC ONE, 48 MG/6 ML MOZ GENZYME

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR Other NOT PROVIDED