FDA Adverse Event Injury Summary report: N

CHLORAPREP UNKNOWN

MDR report key: 12705764 · Received October 27, 2021

Report

Report Number
3004932373-2021-00482
Event Type
Injury
Date Received
October 27, 2021
Date of Event
October 18, 2021
Report Date
December 16, 2021
Manufacturer
CAREFUSION 213, LLC 0113
Product Code
OJU
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

NO ADDITIONAL INFORMATION WAS PROVIDED BY THE MHRA UK. PRIMEVIGILANCE DID REACH OUT TO OBTAIN MORE INFORMATION WITH NO SUCCESS. SHOULD ADDITIONAL INFORMATION BE AVAILABLE IN THE FUTURE, THE COMPLAINT WILL BE RE-OPENED AND INVESTIGATED. ALL COMPLAINTS ARE REVIEWED DURING MONTHLY QUALITY/SAFETY MEETINGS. IN ADDITION, COMPLAINTS ARE TRENDED AT MONTHLY QUALITY DATA ANALYST MEETINGS AND QUARTERLY PLANT MANAGEMENT REVIEW MEETINGS. H3 OTHER TEXT: SEE NARRATIVE BELOW.

Description of Event or Problem · 0

IT WAS REPORTED THAT PATIENT HAD AN ALLERGIC REACTION TO CHLORAPREP. VERBATIM: "ALSO SINCE COVID VACCINE I HAVE SOME SORT OF ALLERGY AGAINST HAIR DYE." "RASH AND SWELLING IN THE NECK UNDER CHIN" "RASH AND SWELLING IN THE NECK UNDER CHIN. VERY ITCHY RASH AND SWOLLEN UNDER CHIN. I HAD A BIOPSY ON MY THYROID AND THIS LOTION WAS USED TO PREP THE SKIN BEFORE THE NEEDLE WENT IN. AFTER 24HRS THIS AWFUL RASH AND SWELLING APPEARED IT WAS VERY FRIGHTENING AND UNCOMFORTABLE FOR 4/5 DAYS."

Additional Manufacturer Narrative · 1

(B)(4). INITIAL EMDR SUBMISSION. A FOLLOW UP EMDR WILL BE SUBMITTED IF ADDITIONAL INFORMATION BECOMES AVAILABLE. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT PATIENT HAD AN ALLERGIC REACTION TO CHLORAPREP. VERBATIM: "ALSO SINCE COVID VACCINE I HAVE SOME SORT OF ALLERGY AGAINST HAIR DYE." "RASH AND SWELLING IN THE NECK UNDER CHIN" "RASH AND SWELLING IN THE NECK UNDER CHIN. VERY ITCHY RASH AND SWOLLEN UNDER CHIN. I HAD A BIOPSY ON MY THYROID AND THIS LOTION WAS USED TO PREP THE SKIN BEFORE THE NEEDLE WENT IN. AFTER 24HRS THIS AWFUL RASH AND SWELLING APPEARED IT WAS VERY FRIGHTENING AND UNCOMFORTABLE FOR 4/5 DAYS."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1603024 CHLORAPREP UNKNOWN 2% W/V CHLORHEXIDINE GLUCONATE/70% V/V ISOPROPYL ALCOHOL OJU CAREFUSION 213, LLC 0113 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other