BEUDAMED
    FDA Adverse Event Injury Summary report: N

    VICKS VAPORIZER

    MDR report key: 128562 · Received October 24, 1997

    Report

    Report Number
    1314800-1997-90007
    Event Type
    Injury
    Date Received
    October 24, 1997
    Date of Event
    October 1, 1997
    Report Date
    October 23, 1997
    Manufacturer
    KAZ, INC.
    Product Code
    KFZ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    CUSTOMER HAD BEEN USING THE VICKS VAPORIZER IN HER CHILD'S ROOM. SHE HAD UNPLUGGED THE VAPORIZER. APPROX. 5 TO 10 MINUES LATER, SHE HEARD HER DAUGHTER SCREAM. SHE HAD LIFTED THE UNIT OUT OF THE BOWL & THE WATER INSIDE THE HEAD DRIPPED ON HER LER. HER DAUGHTER HAS A 3RD DEGREE BURN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VICKS VAPORIZER VAPORIZER KFZ KAZ, INC. V-150 *

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Required Intervention