BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HEPARIN 1000 U/ML

    MDR report key: 991168 · Received January 30, 2008

    Report

    Report Number
    MW5005231
    Event Type
    Injury
    Date Received
    January 30, 2008
    Date of Event
    January 2, 2008
    Manufacturer
    BAXTER
    Product Code
    NZW
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    ND, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    SUDDEN ONSET LIGHT HEADED AND PT C/O OF DIAPHORETIC, NO DIAPHORETICS NOTED. DOSE OR AMOUNT: L 1000, H 500, FREQUENCY: EVERY DIALYSIS RUN IV. DIAGNOSIS OR REASON FOR USE: CRD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEPARIN 1000 U/ML NONE NZW BAXTER

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Required Intervention