FDA Adverse Event
Injury
Summary report: N
BLU-U
MDR report key: 14218651
·
Received April 26, 2022
Report
- Report Number
- MW5109369
- Event Type
- Injury
- Date Received
- April 26, 2022
- Date of Event
- March 21, 2022
- Report Date
- April 22, 2022
- Manufacturer
- SUN PHARMA / DUSA PHARMACEUTICALS, INC.
- Product Code
- MVF
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- NH, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
SEVERE ALLERGIC REACTION TO LEVULAN KERASTICK IS A PRESCRIPTION MEDICINE USED ON THE SKIN WITH BLUE LIGHT TREATMENT (BLU-U BLUE LIGHT PHOTODYNAMIC THERAPY OR PDT) FOR THE TREATMENT OF MINIMALLY TO MODERATELY THICK ACTINIC KERATOSES (AK'S) OF THE FACE, SCALP, OR UPPER ARMS. STILL SUFFERING SUBSTANTIAL PAIN AND DISCOMFORT. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1840996 | BLU-U | SYSTEM, LASER, PHOTODYNAMIC THERAPY | MVF | SUN PHARMA / DUSA PHARMACEUTICALS, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 74 YR | Male | Required Intervention| S| H| L |