BEUDAMED
    FDA Adverse Event Other Summary report: N

    COREGA LIQUID/GERMANY

    MDR report key: 179821 · Received July 30, 1998

    Report

    Report Number
    9681138-1998-00002
    Event Type
    Other
    Date Received
    July 30, 1998
    Date of Event
    July 1, 1998
    Report Date
    July 24, 1998
    Manufacturer
    BLOCK DRUG COMPANY, INC.
    Product Code
    KOO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    THE PHYSICIAN REPORTED THAT SHE PERFORMED AN "EPICUTAN" TEST ON THE PATIENT USING THE INGREDIENTS IN SUPER COREGA LIQUID; THE PATIENT DID NOT HAVE A REACTION TO ANY OF THE INGREDIENTS. THE PHYSICIAN REPORTED THAT BASED ON THIS RESULT, SHE DID NOT THINK THAT THE PATIENT'S SYMPTOMS WERE RELATED TO USE OF PRODUCT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COREGA LIQUID/GERMANY DENTURE ADHESIVE KOO BLOCK DRUG COMPANY, INC. * UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Hospitalization