BEUDAMED
    FDA Adverse Event Death Summary report: N

    MUGARD

    MDR report key: 20048881 · Received August 22, 2024

    Report

    Report Number
    MW5158775
    Event Type
    Death
    Date Received
    August 22, 2024
    Date of Event
    June 10, 2024
    Report Date
    August 20, 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'S SPOUSE REPORTS PT PASSED AWAY ON (B)(6) 2024. FREQ: SWISH AND SWALLOW (OR SPIT) 5-10 ML 4 TO 6 TIMES DAILY. PRESCRIBER CONTACT INFO: (B)(6).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1257189 MUGARD DRESSING, WOUND AND BURN, HYDROGEL W/DRUG AND/OR BIOLOGIC MGQ SOLEVA PHARMA LLC MV1010

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Female Death LEVOTHYROXIN TAB 137MCG