FDA Adverse Event
Summary report: N
*
MDR report key: 518650
·
Received March 16, 2004
Report
- Report Number
- MW1031605
- Date Received
- March 16, 2004
- Date of Event
- February 27, 2004
- Report Date
- March 13, 2004
- Manufacturer
- *
- Product Code
- LEJ
- Report Source
- Voluntary report
- Reporter Location
- IN, US
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
STAPH INFECTION. RECEIVED IV ANTIBIOTICS, ORAL ANTIBIOTICS, PAIN MEDICATION AND ADMITTED TO HOSPITAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | * | * | LEJ | * | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |