BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SUPER POLIGRIP

    MDR report key: 1820844 · Received August 27, 2010

    Report

    Report Number
    MW5017251
    Event Type
    Injury
    Date Received
    August 27, 2010
    Date of Event
    September 1, 2000
    Report Date
    August 12, 2010
    Manufacturer
    GLAXO SMITHKLINE
    Product Code
    KOL
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I USED POLIGRIP BEGINNING (B)(6) 2000. APPROX LATE 2005, I WAS DIAGNOSED WITH NEUROPATHY IN MY FEET. I HAVE PAIN IN BALLS OF MY FEET. I TAKE A VITAMIN B-12 INJECTION ONCE MONTHLY, BUT THE PAIN NEVER LEAVES. DOSE OR AMOUNT: DENTURE CREAM, FREQUENCY: ONCE DAILY, ROUTE: ORAL. DATES OF USE: (B)(6)2000 - PRESENT. EVENT ABATED AFTER USE: NO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SUPER POLIGRIP NONE KOL GLAXO SMITHKLINE UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR