BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FACE MASK

    MDR report key: 11854714 · Received May 19, 2021

    Report

    Report Number
    MW5101432
    Event Type
    Injury
    Date Received
    May 19, 2021
    Report Date
    May 18, 2021
    Manufacturer
    UNK
    Product Code
    QKR
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    MY DAUGHTER IS MADE TO WEAR A MASK AT SCHOOL. SHE COMES HOME WITH A SORE THROAT, SHORTNESS OF BREATH, ANXIETY, AND FACIAL DERMATITIS. PLEASE REVOKE THE EUA ON ALL MASKS FOR THE PUBLIC. THEY ARE HARMING EVERYONE. FDA SAFETY REPORT ID # (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    742847 FACE MASK FACE MASK PER ENFORCEMENT POLICY FOR FACE MASKS AND RESPIRATORS DURING THE COVID QKR UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 8 YR Disability