BEUDAMED
    FDA Adverse Event Death Summary report: N

    MUGARD 240 ML MILLILITRE(S)

    MDR report key: 18573557 · Received January 23, 2024

    Report

    Report Number
    MW5150659
    Event Type
    Death
    Date Received
    January 23, 2024
    Date of Event
    December 27, 2023
    Report Date
    January 20, 2024
    Manufacturer
    SOLEVA PHARMA LLC.
    Product Code
    MGQ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    THE PATIENT'S SON REPORTS THE PATIENT PASSED AWAY ON (B)(6) 2023. NO ADDITIONAL INFORMATION DOCUMENTED. THE FOLLOWING PRODUCT INFORMATION REFLECTS THE LAST DISPENSE BY ALLIANCERX WALGREENS PHARMACY (DELIVERED DECEMBER 22, 2023) AND WAS NOT PROVIDED BY THE PRIMARY REPORTER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1190277 MUGARD 240 ML MILLILITRE(S) DRESSING, WOUND AND BURN, HYDROGEL W/DRUG AND/OR BIOLOGIC MGQ SOLEVA PHARMA LLC. MV1038

    Patients

    Seq Age Sex Outcome Treatment
    1 81 YR Female Death