FDA Adverse Event
Death
Summary report: N
MUGARD ORAL RINSE 240ML/BTL
MDR report key: 19476533
·
Received June 5, 2024
Report
- Report Number
- MW5155779
- Event Type
- Death
- Date Received
- June 5, 2024
- Date of Event
- May 8, 2024
- Report Date
- June 3, 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
EVENT: PATIENT PASSED AWAY. FREQ: USE AS DIRECTED TAKE 5 MLS IN THE MOUTH OR THROAT FOUR TIMES DAILY. PRESCRIBER CONTACT INFO: (B)(6).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2244422 | MUGARD ORAL RINSE 240ML/BTL | DRESSING, WOUND AND BURN, HYDROGEL W/DRUG AND/OR BIOLOGIC | MGQ | SOLEVA PHARMA LLC. | MW1040 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 71 YR | Male | Death |