BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TAMPAX TAMPONS

    MDR report key: 108022 · Received July 25, 1997

    Report

    Report Number
    1217220-1997-00013
    Event Type
    Injury
    Date Received
    July 25, 1997
    Date of Event
    October 1, 1996
    Report Date
    July 21, 1997
    Manufacturer
    TAMBRANDS INC.
    Product Code
    HEB
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    PARENT CALLED AND STATED HER DAUGHTER WAS DIAGNOSED AS HAVING TOXIC SHOCK SYNDROME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TAMPAX TAMPONS TAMPONS HEB TAMBRANDS INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 14 YR Life Threatening