FDA Adverse Event Summary report: N

CVS/PHARMACY

MDR report key: 679508 · Received January 30, 2006

Report

Report Number
MW4004111
Date Received
January 30, 2006
Date of Event
November 17, 2005
Report Date
January 4, 2006
Manufacturer
CVS
Product Code
FMF
Report Source
Voluntary report
Reporter Location
NY, US
Reporter Occupation
NO INFORMATION

Narratives

Description of Event or Problem · 1

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

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CVS/PHARMACY INSULIN SYRINGE FMF CVS * FM0638

Patients

Seq Age Sex Outcome Treatment
1 *