FDA Adverse Event
Malfunction
Summary report: N
DISPOSABLE FACE MASKS
MDR report key: 11663664
·
Received April 13, 2021
Report
- Report Number
- MW5100740
- Event Type
- Malfunction
- Date Received
- April 13, 2021
- Report Date
- April 11, 2021
- Manufacturer
- UNK
- Product Code
- QKR
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- OH, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
ALL BUSINESSES IN (B)(6) ARE REQUIRING FACE MASKS FOR ENTRY WHICH I BELIEVE ARE CATEGORIZED AS MEDICAL DEVICES. WHY??? THEY SHOULD NOT BE ALLOWED TO FORCE THIS. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 554980 | DISPOSABLE FACE MASKS | FACE MASK PER ENFORCEMENT POLICY FOR FACE MASKS AND RESPIRATORS DURING THE COVID | QKR | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 66 YR |