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Event Notification Report for April 17, 2024

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
04/16/2024 - 04/17/2024

EVENT NUMBERS
57081
Agreement State
Event Number: 57081
Rep Org: PA Bureau of Radiation Protection
Licensee: University of Pennsylvania
Region: 1
City: Philadelphia   State: PA
County:
License #: PA-0131
Agreement: Y
Docket:
NRC Notified By: John Chippo
HQ OPS Officer: Adam Koziol
Notification Date: 04/18/2024
Notification Time: 16:32 [ET]
Event Date: 04/17/2024
Event Time: 00:00 [EDT]
Last Update Date: 04/18/2024
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Dimitriadis, Anthony (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
AGREEMENT STATE REPORT - MEDICAL UNDERDOSE

The following information was provided by the Pennsylvania Department of Environmental Protection Bureau of Radiation Protection (the Department) email:

"On April 18, 2024, the licensee informed the Department of a medical event. It is reportable per 10 CFR 35.3045.

"On April 17, 2024, a patient was receiving an iodine-131 [sodium iodine solution] treatment. The patient was prescribed 100 mCi of I-131. However, the patient received only 5 mCi of I-131. At this time no other information is available. The Department will update this event as soon as more information is provided.

"The Department will perform a reactive inspection. More information will be provided upon receipt."

PA Event Number: PA240006

A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.