BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EQUATE TAMPON WITH COMPACT PLASTIC APPLICATOR

    MDR report key: 12325086 · Received August 13, 2021

    Report

    Report Number
    MW5103260
    Event Type
    Injury
    Date Received
    August 13, 2021
    Date of Event
    August 11, 2021
    Report Date
    August 12, 2021
    Manufacturer
    WAL-MART STORES, INC.
    Product Code
    HEB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    TAMPON UNRAVELS INSIDE UPON PULLING IT OUT. THIS HAPPENED MULTIPLE TIMES. IT FELL APART INTO AT LEAST 3 PIECES. MULTIPLE REVIEWS ONLINE HAVE STATED THE SAME THING. FDA SAFETY REPORT ID # (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1214700 EQUATE TAMPON WITH COMPACT PLASTIC APPLICATOR TAMPON, MENSTRUAL, UNSCENTED HEB WAL-MART STORES, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 38 YR Other| R