FDA Adverse Event
Injury
Summary report: N
BYD. NIOSH N95 REPIRATOR
MDR report key: 12727949
·
Received October 29, 2021
Report
- Report Number
- MW5105033
- Event Type
- Injury
- Date Received
- October 29, 2021
- Date of Event
- October 27, 2021
- Report Date
- October 27, 2021
- Manufacturer
- BYD PRECISION MANUFACTURE CO.,LTD.
- Product Code
- MSH
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CA, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
SEVERE BURNING IN THROAT; NIOSH RESPIRATOR. TC-84A-9221. WORE N95 RESPIRATOR THE DAY BEFORE AND WOKE UP WITH TERRIBLE BURNING IN MY THROAT, WHICH SLOWLY WENT AWAY AFTER NOT WEARING IT. CHEMICALS IN MASK SHOULD BE EVALUATED. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1616842 | BYD. NIOSH N95 REPIRATOR | RESPIRATOR, SURGICAL | MSH | BYD PRECISION MANUFACTURE CO.,LTD. | TC-84A-9221 | 6200701 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 59 YR | Other |