FDA Adverse Event
Injury
Summary report: N
EQUATE VARIETY PACK ASSORTED BANDAGES ANTIBACTERIAL
MDR report key: 16195435
·
Received January 17, 2023
Report
- Report Number
- MW5114363
- Event Type
- Injury
- Date Received
- January 17, 2023
- Date of Event
- January 12, 2023
- Report Date
- January 13, 2023
- Manufacturer
- WAL-MART STORES INC.
- Product Code
- KGX
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MD, US
- Reporter Occupation
- PATIENT FAMILY MEMBER OR FRIEND
- Health Professional
- *
Narratives
Description of Event or Problem · 0
BANDAGE APPLIED TO A SMALL MOSQUITO BITE ON MY DAUGHTER'S FACE ON (B)(6). SHE SAID IT WAS ITCHY BUT WE DIDN'T THINK MUCH OF IT DUE TO THE MOSQUITO BITE. SHE HAD LOW APPETITE OVER THE DAY ON (B)(6) AND EVENTUALLY EXPERIENCED VOMITING. UPON REMOVING THE BANDAGE MORNING OF (B)(6) FOUND A RASH UNDER THE ADHESIVE AREA AND CHEMICAL BURN/BLISTERS UNDER THE ABSORBENT AREA. RASH BEGAN IMPROVING WITH REMOVAL, CHEMICAL BURN WILL REQUIRE FURTHER TOPICAL TREATMENT AND MONITORING. (B)(6).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 95459 | EQUATE VARIETY PACK ASSORTED BANDAGES ANTIBACTERIAL | TAPE AND BANDAGE, ADHESIVE | KGX | WAL-MART STORES INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 4 YR | Female | NATURAL CALM MAGNESIUM DRINK MIX 1 SCOOP/DAY. |