FDA.reportPublic FDA data

MAUDE MDR 9679167

MDR report key
9679167
Report number
8021764-2020-00002
Event key
0
Event type
3
Date received
2020-02-06
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MS. PATTY CRONAN
Address
1755 WEST OAK COMMONS CT. MARIETTA GA 30062 US
Phone
770-770-7709
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1AUTOJECT 2 FOR GLASS SYRINGEAUTOINJECTOROWEN MUMFORD LTDKZHAJ 1060AJ1060 N
101COPAXONE 40MG/MLTEVA PHARMACEUTICALS---

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-02-0601. O

Event Narratives#

No narrative records found.