FDA Adverse Event
Malfunction
Summary report: N
SKINVIVE JUVEDERM
MDR report key: 18573676
·
Received January 23, 2024
Report
- Report Number
- MW5150663
- Event Type
- Malfunction
- Date Received
- January 23, 2024
- Date of Event
- October 25, 2023
- Report Date
- January 19, 2024
- Manufacturer
- ALLERGAN SALES, LLC
- Product Code
- LMH
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MI, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
I WAS INJECTED WITH A PRODUCT THAT WAS A DERMAL FILLER IN MY CHEEKS BY THE COMPANY JUVÉDERM/SKINVIVE ABOUT THREE WEEKS LATER MY SKIN AND THE INJECTED SITES WERE TURNING BROWNISH OR DARKER IN THE UPPER CHEEK AND LOWER CHEEK AND THEN IN BETWEEN WHERE IT WAS NOT INJECTED IT'S WHITE AND IT LOOKS LIKE ONE WHITE STRIPE WITH A TUNNEL. IT LOOKS LIKE A TUNNEL ON MY CHEEK. I FEEL THAT THIS PRODUCT DISFIGURED MY FACE. TO HELP MY SKIN, HAVE A BETTER GLOWING LOOK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2474610 | SKINVIVE JUVEDERM | IMPLANT, DERMAL, FOR AESTHETIC USE | LMH | ALLERGAN SALES, LLC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 51 YR | Female | Other | MULTIVITAMIN |