BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EQUATE FLEXIBLE FABRIC BANDAGES

    MDR report key: 14195200 · Received April 22, 2022

    Report

    Report Number
    MW5109328
    Event Type
    Injury
    Date Received
    April 22, 2022
    Date of Event
    April 18, 2022
    Report Date
    April 21, 2022
    Manufacturer
    WAL-MART STORES, INC.
    Product Code
    KGX
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CT, US
    Reporter Occupation
    PATIENT
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    USED NEW BATCH OF EQUATE ANTIBACTERIAL BANDAGE FOR A SMALL WOUND ON MY ARM. AFTER A FEW DAYS I DEVELOPED A RASH AND SEVERE ITCHING ON MY ARM AND BOTH LEGS. EQUATE BATCH NUMBER 00154489 FLEXIBLE FABRIC BANDAGES RECENTLY PURCHASED ON LINE. NO TEST DONE. REASON FOR USE: TO PROTECT A MINOR SKIN WOUND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1792465 EQUATE FLEXIBLE FABRIC BANDAGES TAPE AND BANDAGE, ADHESIVE KGX WAL-MART STORES, INC. 00154489

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Male AMLODOPINE BESYLATE| LISINOPRIL HCTZ| MULTI-VITAMIN| SIMVASTATIN