BEUDAMED
    FDA Adverse Event Death Summary report: N

    MUGARD

    MDR report key: 18757797 · Received February 21, 2024

    Report

    Report Number
    MW5151790
    Event Type
    Death
    Date Received
    February 21, 2024
    Report Date
    February 16, 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

    PT PASSED AWAY (B)(6) 2024. FREQ: SWISH AND EXPEL OR SWALLOW 5 TO 10 ML, 4 TO 6 TIMES DAILY AS PRESCRIBED FOR THE MANAGEMENT OF ORAL MUCOSITIS. PRESCRIBER CONTACT INFO: (B)(6).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1576155 MUGARD DRESSING, WOUND AND BURN, HYDROGEL W/DRUG AND/OR BIOLOGIC MGQ SOLEVA PHARMA LLC.

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Male Death AMLODIPINE TAB 2.5MG.| CYMBALTA CAP 30MG.| DOXYCYCL HYC TAB 100MG.| MULTIVITAMIN TAB MEN.| OXYCODONE TAB 5MG.| POT CHLORIDE TAB 8 MEQ ER .| VALACYCLOVIR TAB 500MG.