FDA Adverse Event Injury Summary report: N

HERBAL PANTILINER

MDR report key: 18867917 · Received March 8, 2024

Report

Report Number
3014829931-2024-00001
Event Type
Injury
Date Received
March 8, 2024
Report Date
March 5, 2024
Manufacturer
SHANGHAI SHUXIAO INDUSTRY CO.,LTD
Product Code
HHL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

FOR THIS INVESTIGATION, NO SPECIFIC HERBAL MENSTRUAL LINER LOT CODE WAS REPORTED BY THE CONSUMER. THEREFORE, A DOCUMENTATION REVIEW ON HERBAL MENSTRUAL LINERS WAS PERFORMED ACROSS 11 LOTS MANUFACTURED IN 2023 AND 2024. QC INSPECTION RECORDS OF THE 11 LOTS MANUFACTURED IN 2023 AND 2024 OF WERE REVIEWED AND IT WAS CONFIRMED ALL IN PROCESS CHECKS WERE PERFORMED, AND THE RESULTS OF THOSE CHECKS WERE IN COMPLIANCE WITH THE SPECIFICATION.

Description of Event or Problem · 0

ON 15-FEB-2024 A SPONTANEOUS REPORT WAS RECEIVED FROM THE UNITED STATES REGARDING A FEMALE CONSUMER (AGE NOT PROVIDED) WHO USED AN UNSPECIFIED HERBAL PANTILINER. ON AN UNSPECIFIED DATE, THE CONSUMER TOPICALLY APPLIED AN UNSPECIFIED HERBAL PANTILINER FOR AN UNSPECIFIED INDICATION. ON AN UNSPECIFIED DATE AFTER APPLYING THE PRODUCT, THE CONSUMER EXPERIENCED AN ALLERGIC REACTION WHICH RESULTED IN A BACTERIAL INFECTION AFTER WEARING ONE PANTILINER. ON AN UNSPECIFIED DATE THE CONSUMER TALKED TO HER DOCTOR OF OBSTETRICS AND GYNECOLOGY. SHE HAD TO TAKE TOPICAL MEDICATIONS AND HAD TO SPEND MONEY ON MEDICATIONS (NOT FURTHER SPECIFIED). AFTER TWO WEEKS, SHE STARTED HEALING. NO FURTHER INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
160964 HERBAL PANTILINER PAD, MENSTRUAL, SCENTED HHL SHANGHAI SHUXIAO INDUSTRY CO.,LTD

Patients

Seq Age Sex Outcome Treatment
1 NA Female Required Intervention