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 |