FDA Adverse Event
Injury
Summary report: N
SEVENTH GENERATION
MDR report key: 12302228
·
Received August 10, 2021
Report
- Report Number
- 1648563-2021-00004
- Event Type
- Injury
- Date Received
- August 10, 2021
- Date of Event
- January 5, 2021
- Report Date
- August 10, 2021
- Manufacturer
- FEMPRO CONSUMER PRODUCTS ULC
- Product Code
- HHD
- UDI-DI
- 00732913450008
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- VT, US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 1
CONSUMER USED OUR REGULAR MAXI TAMPON. AFTER USE SHE NOTICED SKIN IRRITATION ONLY IN AREAS WHERE ADHESIVE CAME IN DIRECT CONTACT WITH SKIN AFTER MOVEMENT OF THE PAD. CONSUMER DISCONTINUED USING PRODUCT AND NO MEDICAL TREATMENT WAS SOUGHT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1197269 | SEVENTH GENERATION | MAXI PAD- REGULAR | HHD | FEMPRO CONSUMER PRODUCTS ULC | 67245369 | 20 167 FP7 07:01:32 | 00732913450008 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 30 YR |