FDA Adverse Event Injury Summary report: N

MOTOROLA -SANYO-

MDR report key: 510564 · Received January 10, 2004

Report

Report Number
MW1030772
Event Type
Injury
Date Received
January 10, 2004
Date of Event
April 11, 2003
Report Date
January 10, 2004
Manufacturer
*
Product Code
NCQ
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
KS, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

EWINGS SARCOMA PNET/ES-CANCER IN RIGHT LOWER LOBE OF LUNG AND RIB CAGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MOTOROLA -SANYO- CELL PHONE NCQ * * *

Patients

Seq Age Sex Outcome Treatment
1 55 YR Hospitalization| L| S CHEMO FOR 1 YEAR.48 TREATMENTS TOTAL. VERY| AGRESSIVE CANCER.