FDA Adverse Event Injury Summary report: N

TAMPAX PEARL

MDR report key: 1230104 · Received November 12, 2008

Report

Report Number
MW5008969
Event Type
Injury
Date Received
November 12, 2008
Date of Event
November 1, 2008
Report Date
November 8, 2008
Manufacturer
PROCTOR & GAMBLE
Product Code
HEB
Report Source
Voluntary report
Reporter Location
MN, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

IN 2008, WAS THE FIRST TIME I NOTED A PROBLEM WITH THE TAMPAX PEARL TAMPON. WHEN ATTEMPTING TO REMOVE THE TAMPON IT LITERALLY FELL APART INTO SMALL PIECES. THE NEXT DAY, APPROX 15 MINS AFTER INSERTING A TAMPON, I WAS EXPERIENCING SEVERE PAIN & BURNING. I HAD TO REMOVE THE TAMPON WHILE DRIVING. THIS TAMPON ALSO FELL INTO SMALL PIECES- LEAVING A SLEEVE AND SEVERAL SMALL PIECES OF MATERIAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TAMPAX PEARL TAMPON HEB PROCTOR & GAMBLE 8180243042 09:37

Patients

Seq Age Sex Outcome Treatment
1 41 YR Required Intervention