BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EUFLEXXA

    MDR report key: 6683912 · Received June 29, 2017

    Report

    Report Number
    MW5070755
    Event Type
    Injury
    Date Received
    June 29, 2017
    Date of Event
    May 1, 2017
    Report Date
    June 28, 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

    HOSPITALIZED FOR UNK REASON. DOSE OR AMOUNT: 10MG, FREQUENCY: QW, ROUTE: SC. DATES OF USE: (B)(6) 2015 - ONGOING. DIAGNOSIS OR REASON FOR USE: BILATERAL PRIM OSTEOARTHRITIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    458808 EUFLEXXA EUFLEXXA MOZ FERRING M12039A 55566410001

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR Hospitalization