FDA Adverse Event
Injury
Summary report: N
SURGICAL MASK
MDR report key: 11595122
·
Received March 30, 2021
Report
- Report Number
- MW5100399
- Event Type
- Injury
- Date Received
- March 30, 2021
- Date of Event
- March 28, 2021
- Report Date
- March 28, 2021
- Manufacturer
- UNK
- Product Code
- FXX
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- PA, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
PUTTING TODAY'S DATE AS THIS HAS HAPPENED SINCE THE ONSET OF WHEN MASK MANDATES WENT INTO EFFECT. MY TOURETTE'S SYNDROME IS INTENSIFIED WHEN WEARING A MASK AT WORK OR IN A PRIVATE BUSINESS SETTING THAT REQUIRES MASKS TO BE WORN. MY INTENSE MOTOR TICS/ JERKING OF THE BODY CAUSED BY MY TS, HAS LEFT ME WITH MANY PULLED MUSCLES AND HEADACHES. MASKING CREATES ANXIETY AND MENTAL ANGUISH OVER THE FEELING OF IMPRISONMENT WHEN NOT BEING ABLE TO SEE OTHERS FACES AS WELL. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 490120 | SURGICAL MASK | MASK, SURGICAL | FXX | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 35 YR | Other |