FDA Adverse Event
Other
Summary report: N
BACTO ADJUVANT, INCOMPLETE (FREUND)
MDR report key: 564508
·
Received January 7, 2005
Report
- Report Number
- 1119779-2004-00006
- Event Type
- Other
- Date Received
- January 7, 2005
- Date of Event
- December 6, 2004
- Report Date
- January 4, 2005
- Manufacturer
- BD DIAGNOSTIC SYSTEMS
- Product Code
- JTA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
TECHNICAL SERVICE HAS RECEIVED A COMPLAINT FROM A LABORATORY WORKER WHO WAS INJECTING MICE AND RECEIVED AN ACCIDENTAL NEEDLESTICK INJURY TO THEIR FINGER WITH THE BACTO ADJUVANT, INCOMPLETE FREUND. THEY SOUGHT MEDICAL ATTENTION AND DID REPORT RECEIVING A TETANUS SHOT. THEY SUBSEQUENTLY VISITED THE STUDENT HEALTH CENTER, BUT DID NOT RECEIVE ANY FURTHER TREATMENT. THERE HAVE BEEN NO ADDITIONAL COMPLAINTS OF AN ADVERSE HEALTH CONSEQUENCE TO THE ACCIDENTAL INJECTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BACTO ADJUVANT, INCOMPLETE (FREUND) | SUBSTANCE THAT INCREASES ANTIGENIC RESPONSE | JTA | BD DIAGNOSTIC SYSTEMS | NA | 2191410 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Other |