BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MULTI-PURPOSE SOLUTION

    MDR report key: 1103464 · Received August 7, 2008

    Report

    Report Number
    MW5007934
    Event Type
    Injury
    Date Received
    August 7, 2008
    Date of Event
    August 5, 2008
    Report Date
    August 7, 2008
    Manufacturer
    DOLGENCORP, INC
    Product Code
    LPN
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    I WOKE UP IN AUGUST WITH MY PAIN, SWELLING, BURNING, ITCHING, AND "CRUSTINESS" IN MY RIGHT EYE AND ITCHING IN MY LEFT EYE. I WENT TO THE DOCTOR AND WAS DIAGNOSED WITH CONJUNCTIVITIS IN BOTH EYES. I HAD NOT BEEN AROUND ANYONE WITH CONJUNCTIVITIS SO I WAS CONFUSED AS TO HOW I CONTRACTED IT. THEN I REALIZED THAT I HAD RUN OUT OF CONTACT SOLUTION A FEW DAYS BEFORE, AND MY HUSBAND PICKED UP SOME SOLUTION FOR ME AT THE LOCAL STORE. THEY DID NOT HAVE A NAME BRAND SOLUTION, ONLY A GENERIC BRAND. THIS IS THE ONLY PLACE I CAN FIGURE THAT I CONTRACTED CONJUNCTIVITIS. THE BOTTLE DOES NOT HAVE A BRAND NAME ON IT. HOWEVER, THIS IS THE INFO ON THE BACK IS AS FOLLOWS: EXPIRATION DATE 2010-04, LOT # GD8034. I AM NOT SURE IF THE SOLUTION IS NOT STERILE AS IT'S SUPPOSED TO BE. THE PROTECTIVE SEAL WAS INTACT ON THE BOTTLE. I PREVIOUSLY CONTACTED THE CDC AND THEY SUGGESTED I CONTACT THE FDA. THANK YOU IN ADVANCE FOR YOUR HELP WITH THIS SITUATION. FREQUENCY: DAILY. ROUTE: OPHTHALMIC. DATES OF USE: 2008. DIAGNOSIS OR REASON FOR USE: CONTACTS. EVENT ABATED AFTER USE STOPPED OR DOSE REDUCED? NO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MULTI-PURPOSE SOLUTION MULTI-PURPOSE SOLUTION LPN DOLGENCORP, INC GD8034

    Patients

    Seq Age Sex Outcome Treatment
    1 26 YR Other