FDA Adverse Event Injury Summary report: N

MOJI BACK

MDR report key: 5469941 · Received February 26, 2016

Report

Report Number
MW5060596
Event Type
Injury
Date Received
February 26, 2016
Date of Event
January 1, 2015
Manufacturer
V2 FITNESS, LLC
Product Code
LYG
Report Source
Voluntary report
Reporter Location
IL, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

I BECAME SICK FROM SIDE EFFECT OF MEDS, GAINED WEIGHT, SHORTNESS OF BREATH, WAKING UP IN NIGHTMARE, DRY COUGH, WEAKNESS, ASSAULT DUE TO SLEEPLIKE STATE/NUMBNESS, UNUSUAL BLEEDING. I CAME TO THE EMERGENCY ROOM AT THE (B)(6) COMPLAINING OF STOMACH PAIN, GOT SHOT IN STOMACH AND I HAVE NOT BEEN RIGHT SINCE, I CRY A LOT, FEEL MOVEMENT INSIDE OF ME, AND GET SICK A LOT, CAN'T HOLD MUCH FOOD DOWN. THIS WAS IN (B)(6) 2015 OR (B)(6) 2016, (B)(6) RECORDS. TETRA ABDOMINAL BINDER TO HELP WITH BLOATING. HAD TROUBLE WITH EQUIPMENT USE, AND WHEN I WOULD FINISH HOW LONG IT TOOK MY BLOOD PRESSURE TO BE STABLE. WELL I STARTED HAVING SIDE EFFECTS AND FLASHBACKS AFTER USING SOME OF MY MEDS, NIGHTMARES, FEELING LIKE SOMEONE IS TAKING ADVANTAGE OF ME WHEN I SLEEP, I AM SO USED TO WORKING AND LIVING AROUND OTHER SOLDIERS, LOSS OF INTEREST IN WORK, I HAD NO SEX DRIVE AFTER USE OF SOME MEDS AND EXPERIENCING PTSD, MST AND DEPRESSION, ANXIOUS. REACTION FROM STRESS TEST GOT SICK AND FELT NAUSEOUS. I SOUGHT MEDICAL ATTENTION AT THE EMERGENCY ROOM FOR CHEST PAIN AND PAIN IN MY STOMACH. THE ATTENDING PHYSICIAN TOLD ME THAT I HAD "SOME FORM OF PHYSICAL INJURY TO MY FACE, AND CHEST, AND THAT I "SUFFERED FROM NEGATIVE THOUGHTS," AND HAD REOCCURRING THOUGHTS." THE ATTENDING PHYSICIAN ALSO STATED THAT I SUFFERED FROM PTSD WHICH WAS NOT BEING TREATED. I RECEIVED SEVERAL "BLOOD TEST," I HAVE REQUESTED, AND I AM STILL AWAITING THE RECEIPT OF THE RESULT(S) OF THOSE TEST. I AM QUESTIONING HOW THE DRUG "COCAINE" WAS FOUND IN MY URINE AS I AM NOT NOW NOR HAVE I EVER BEEN A DRUG USER. I BELIEVE THAT I COULD HAVE POSSIBLY BEEN THE VICTIM OF A "DATE RAPE" DRUG, AND I REQUESTED THAT A "RAPE TEST/EXAMINATION" BE PERFORMED, AND MY REQUEST WAS NOT HONORED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
119628 MOJI BACK THERAPEUTIC MASSAGER LYG V2 FITNESS, LLC 3007407687
119629 LIFESOURCE BLOOD PRESSURE MONITOR VA - 767 PLUS BLOOD PRESSURE MONITOR DXN A&D ENGINEERING INC.
119630 TETRA ABDOMINAL BINDER XL 42 4G THERAPEUTIC MEDICAL BINDER FSD TETRA MEDICAL SUPPLY CORP 124114 0614138100015

Patients

Seq Age Sex Outcome Treatment
1 56 YR Hospitalization| O