BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LIPO LAX

    MDR report key: 13152998 · Received January 3, 2022

    Report

    Report Number
    MW5106442
    Event Type
    Injury
    Date Received
    January 3, 2022
    Date of Event
    December 8, 2021
    Report Date
    December 25, 2021
    Manufacturer
    UNK
    Product Code
    LMH
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    US
    Reporter Occupation
    PATIENT
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    BOUGHT BOTOX FROM (B)(6) IN THE USA AND FILLER FOR MY FACE. THE BOTOX MADE ME BREAK INTO HIVES, CAUSED BLINDNESS AND THE FILLER WAS RUNNY. THE BOTOX AND FILLER ARE BAD, NOT TRUE BOTOX AND SILICONE LIKE FILLER. ALL BOUGHT IN THE USA (B)(6).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    792158 LIPO LAX IMPLANT, DERMAL, FOR AESTHETIC USE LMH UNK
    792159 BOTOX IMPLANT, DERMAL, FOR AESTHETIC USE LMH UNK
    792160 DERMAL FILLER IMPLANT, DERMAL, FOR AESTHETIC USE LMH UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 Female Hospitalization