FDA Adverse Event Injury Summary report: N

CVS HEALTH

MDR report key: 15282721 · Received August 24, 2022

Report

Report Number
1038758-2022-00034
Event Type
Injury
Date Received
August 24, 2022
Date of Event
July 26, 2022
Report Date
October 6, 2022
Manufacturer
EUROMED, INC.
Product Code
NAD
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
RI, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE INITIAL COMPLAINT BY THE CUSTOMER DID NOT INDICATE THAT AN MDR WOULD BE REQUIRED. HOWEVER, PER THE INFO RECEIVED ON (B)(6) 2022 MEDICAL TREATMENT WAS SOUGHT. BASED ON THE INFORMATION RECEIVED, ASO OPTED TO FILE AN MDR. AS OF (B)(6) 2022 MANUFACTURER HAS NOT FINISHED THEIR INVESTIGATION. ASO REVIEWED RECORDS OF BIOCOMPATIBILITY TESTS WITH NO ISSUES NOTED.

Additional Manufacturer Narrative · 0

THE INITIAL COMPLAINT BY THE CUSTOMER DID NOT INDICATE THAT AN MDR WOULD BE REQUIRED. HOWEVER, PER THE INFO RECEIVED ON 07/26/2022 MEDICAL TREATMENT WAS SOUGHT. BASED ON THE INFORMATION RECEIVED, ASO OPTED TO FILE AN MDR. AS OF 08/19/2022 MANUFACTURER HAS NOT FINISHED THEIR INVESTIGATION. ASO REVIEWED RECORDS OF BIOCOMPATIBILITY TESTS WITH NO ISSUES NOTED. REFER TO SECTION B.6 OF THIS REPORT FOR FURTHER DETAILS. AS OF 10/04/2022 MANUFACTURER HAS COMPLETED THEIR INVESTIGATION WITH NO ISSUES FOUND. PLEASE REFERE TO B6 FOR DETAILS. THE FOLLOWING SECTIONS WERE UPDATED: B6; G6; H2; H3; H6 (TYPE OF INVESTIGATION; INVESTIGATION FINDINGS; INVESTIGATION CONCLUSIONS)

Description of Event or Problem · 0

ON THE INITIAL REPORT ON (B)(6) 2022 CONSUMER STATED THAT PRODUCT CAUSED A REACTION (BLISTERS) ON HER FOOT . ON COMPLETED CIR RECEIVED FROM CONSUMER ON (B)(6) 2022 SHE STATED APPLIED THE PRODUCT TO HER FOOT OVER A WART THAT HAD BEEN REMOVED. SHE ADDED SHE FELT PAIN AND THERE WAS A BLISTER. SHE WASHED THE AREA AND TRIED AGAIN AND GOT A SECOND BLISTER. CONSUMER STATED SOUGHT MEDICAL ATTENTION WITH A DERMATOLOGIST WHO PRESCRIBED CLOBETASOL PROPIONATE OINTMENT. THE CONSUMER STATED THE SYMPTOMS DID NOT IMMEDIATELY STOPPED AFTER DISCONTINUED USE OF THE PRODUCT, BUT IS SLOWLY GETTING BETTER (CONSUMER STILL HAD A BLISTER).

Description of Event or Problem · 0

ON THE INITIAL REPORT ON 07/12/2022 CONSUMER STATED THAT PRODUCT CAUSED A REACTION (BLISTERS) ON HER FOOT . ON COMPLETED CIR RECEIVED FROM CONSUMER ON 07/26/2022 SHE STATED APPLIED THE PRODUCT TO HER FOOT OVER A WART THAT HAD BEEN REMOVED. SHE ADDED SHE FELT PAIN AND THERE WAS A BLISTER. SHE WASHED THE AREA AND TRIED AGAIN AND GOT A SECOND BLISTER.CONSUMER STATED SOUGHT MEDICAL ATTENTION WITH A DERMATOLOGIST WHO PRESCRIBED CLOBETASOL PROPIONATE OINTMENT. THE CONSUMER STATED THE SYMPTOMS DID NOT INMEDIATELLY STOPPED AFTER DISCONTINUED USE OF THE PRODUCT, BUT IS SLOWLY GETTING BETTER (CONSUMER STILL HAD A BLISTER).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2163789 CVS HEALTH ADVANCE HEALING HYDROCOLLOID BANDAGES NAD EUROMED, INC. UPC#050428373668 00151390

Patients

Seq Age Sex Outcome Treatment
1 Female Other