FDA Adverse Event
Injury
Summary report: N
SCULPTRA
MDR report key: 19864494
·
Received July 29, 2024
Report
- Report Number
- MW5157796
- Event Type
- Injury
- Date Received
- July 29, 2024
- Date of Event
- June 27, 2024
- Report Date
- July 29, 2024
- Manufacturer
- GALDERMA LABORATORIES, L.P.
- Product Code
- LMH
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MI, US
- Reporter Occupation
- PATIENT
- Health Professional
- N
Narratives
Description of Event or Problem · 0
ON (B)(6) 2024 REPORTER WENT TO A MEDICAL SPA THAT WAS HAVING AN EVENT. WHILE SHE WAS THERE SHE WAS ASKED TO BE A MODEL FOR SCULPTRA. LATER THAT EVENING HER LIPS STARTED TO SWELL AND BLEED. HER LIPS WERE ALSO CRACKED AND PEELING. SHE IS TAKING ZYRTEC TO HELP WITH THE SWELLING. REPORTER STATES IT MAY BE AN ALLERGIC REACTION BUT IT'S NOT CONFIRMED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 281414 | SCULPTRA | IMPLANT, DERMAL, FOR AESTHETIC USE | LMH | GALDERMA LABORATORIES, L.P. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female |