BEUDAMED
    FDA Adverse Event Summary report: N

    KERR 12 DRAM PRESCRIPTION VIAL

    MDR report key: 223208 · Received May 11, 1999

    Report

    Report Number
    MW1016317
    Date Received
    May 11, 1999
    Report Date
    May 11, 1999
    Manufacturer
    KERR PRESCRIPTION PACKAGING
    Product Code
    NXB
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    ONE OF THE RPTR'S PTS RETURNED A PRESCRIPTION DISPENSED IN A 12 DRAM KERR PRESCRIPTION VIAL. THE PT DESCRIBED THE VIAL AS HAVING A RED STAIN. THE RPTR AFFIRMS THE BROWN PLASTIC AS BEING DISCOLORED, HAVING STREAKS OF RED. THE COLORING IS NOT UNIFORM. THE PT ALSO THOUGHT HIS TABLETS SMELLED DIFFERENTLY IN THAT VIAL, AS WELL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KERR 12 DRAM PRESCRIPTION VIAL PACKAGED WITH CHILD-RESISTANT CAPS NXB KERR PRESCRIPTION PACKAGING * 00032747

    Patients

    Seq Age Sex Outcome Treatment
    1 *