FDA Adverse Event Injury Summary report: N

EUFLEXXA

MDR report key: 6562782 · Received May 11, 2017

Report

Report Number
MW5069710
Event Type
Injury
Date Received
May 11, 2017
Date of Event
January 1, 2016
Report Date
May 10, 2017
Manufacturer
FERRING
Product Code
MOZ
UDI-DI
55566410001
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
PA, US
Reporter Occupation
PHARMACIST

Narratives

Description of Event or Problem · 1

PT STATED NO REACTION OR ADVERSE EFFECT TO EUFLEXXA. HOWEVER, WHILE UPDATING MEDICAL HISTORY PT REPORTED THAT SHE HAD A RECENT SURGERY FOR SOMETHING FOUND IN HER COLONOSCOPY. THE SURGERY FOUND A TUMOR THAT WILL BE CHECKED AGAIN LATER THIS YEAR AND MAY NEED TO BE TREATED WITH ORAL CHEMO. WHILE IN THE HOSPITAL THEY FOUND A HEART MURMOR. DOSE OR AMOUNT: 10MG, FREQUENCY: UTD, ROUTE: SC. DATES OF USE: (B)(6) 2013 - ONGOING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
341309 EUFLEXXA ACID HYALURONIC INTRAARTICULAR MOZ FERRING L17762A 55566410001

Patients

Seq Age Sex Outcome Treatment
1 57 YR Hospitalization CRESTOR | ESTRADIOL| NEXIUM | OMEGA3| VALTREX| VITAMIN C| WELCHOL