FDA Adverse Event Injury Summary report: N

RHA 3 FILLER

MDR report key: 22412467 · Received July 7, 2025

Report

Report Number
MW5172278
Event Type
Injury
Date Received
July 7, 2025
Date of Event
September 5, 2024
Report Date
June 30, 2025
Manufacturer
TEOXANE S.A.
Product Code
LMH
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
MI, US
Reporter Occupation
PATIENT
Health Professional
*

Narratives

Description of Event or Problem · 0

FDA ADVERSE EVENT NARRATIVE DYSPORT / RHA 3 FILLER PATIENT NARRATIVE: ON (B)(6) 2024, I RECEIVED MY FIRST ½ SYRINGE OF RHA 3 FILLER INJECTED INTO MY LIPS AT (B)(6). IN (B)(6). THIS INITIAL APPOINTMENT RESULTED IN NO ADVERSE EFFECTS. WHILE I HAD INITIALLY INQUIRED ABOUT USING A FULL SYRINGE, THE PROVIDER ((B)(6)) RECOMMENDED STARTING WITH HALF FOR MY FIRST TREATMENT, AND I TOLERATED IT WELL. ON (B)(6)2024, I RETURNED TO (B)(6) FOR DYSPORT INJECTIONS (MY FIRST EXPERIENCE WITH THIS PRODUCT), AND WAS ALSO TOLD IT WAS "SAFE" TO INJECT THE REMAINING ½ SYRINGE OF RHA 3. AT THE TIME OF THE VISIT, VISIBLE FILLER MIGRATION WAS PRESENT -- TWO VERTICAL LINES HAD APPEARED ABOVE MY LIPS, WHICH I BROUGHT TO (B)(6) ATTENTION. SHE STATED IT "WOULD TAKE TIME TO SETTLE." AFTER SIGNING ELECTRONIC CONSENT FORMS VIA EMAIL, I RECEIVED DYSPORT INJECTIONS. WITHIN 45 MINUTES OF LEAVING THE APPOINTMENT, I DEVELOPED ACUTE AND SEVERE SYMPTOMS, INCLUDING: NAUSEA VOMITING DIARRHEA EXHAUSTION/FATIGUE EXCRUCIATING HEADACHE LEG PAIN THE VOMITING PERSISTED FOR SEVERAL DAYS, DURING WHICH I WAS BEDRIDDEN AND UNABLE TO CONSUME FOOD OR FLUIDS. I CONTACTED THE CLINIC AND EXPRESSED THAT I BELIEVED I WAS HAVING A REACTION TO DYSPORT. I WAS TOLD THERE WAS "NO WAY" THE SYMPTOMS WERE RELATED TO THE INJECTION. STILL UNCERTAIN, I RETURNED ON (B)(6) 2024, FOR A FOLLOW-UP APPOINTMENT. I REITERATED MY CONCERN THAT THE REACTION MIGHT HAVE BEEN LINKED TO DYSPORT. (B)(6) REASSURED ME THAT IT WAS NOT. I AGAIN VOICED CONCERN ABOUT THE PERSISTENT VERTICAL LINES ABOVE MY LIPS, WHICH SHE ATTRIBUTED TO MY "NATURAL ANATOMY." AT THIS VISIT, I RECEIVED A FEW MORE DYSPORT UNITS IN THE GLABELLAR AREA TO ADDRESS AREAS THAT HAD NOT RESPONDED TO THE PRIOR INJECTION. WITHIN 45 MINUTES, I AGAIN DEVELOPED NAUSEA, VOMITING, DIARRHEA, AND HEADACHE. I RETURNED FOR ANOTHER APPOINTMENT ON (B)(6) 2024, WHERE DYSPORT WAS AGAIN USED FOR FULL-FACE TREATMENT. DESPITE MY REPEATED CONCERNS, (B)(6) DID NOT BELIEVE THE REACTIONS WERE LINKED TO THE PRODUCT AND DECLINED TO USE AN ALTERNATIVE AGENT. I AGAIN EXPERIENCED THE SAME SYSTEMIC SYMPTOMS WITHIN AN HOUR. THIS TIME, I ALSO EXPERIENCED SIGNIFICANT BRUISING ON MY FOREHEAD AND UNDER-EYE AREAS. AFTER REPORTING THE BRUISING, THE CLINIC ONLY OFFERED A TOPICAL PRODUCT FOR MANAGEMENT. ON (B)(6) 2025, I WAS INJECTED WITH DYSPORT AGAIN FOR A TOUCH-UP. MY SYMPTOMS RECURRED IN A CONSISTENT PATTERN. ON (B)(6) 2025, I INSISTED THAT AN ALTERNATIVE NEUROMODULATOR BE USED. (B)(6) PROPOSED PRE-TREATMENT WITH ONDANSETRON ODT 4 MG, A PRESCRIPTION ANTI-NAUSEA MEDICATION. AT THIS VISIT, SHE AGREED TO SWITCH FROM DYSPORT TO DAXXIFY. I EXPERIENCED NO ADVERSE EFFECTS FROM DAXXIFY, STRONGLY SUGGESTING THE PRIOR REACTIONS WERE LINKED SPECIFICALLY TO DYSPORT. AT NO TIME DURING THIS SEQUENCE OF EVENTS DO I BELIEVE MY CONCERNS WERE TAKEN SERIOUSLY, NOR DO I BELIEVE AN ADVERSE EVENT REPORT WAS SUBMITTED TO THE MANUFACTURER OR FDA BY THE PROVIDER. I AM SUBMITTING THIS REPORT MYSELF IN THE HOPE THAT IT WILL CONTRIBUTE TO POST-MARKET SAFETY MONITORING AND HELP IMPROVE FUTURE PATIENT CARE. MY EXPERIENCE HAS CAUSED PHYSICAL AND EMOTIONAL DISTRESS, AND I AM NOW UNDERGOING CORRECTIVE STEPS WITH A NEW PROVIDER. COSMETIC REASONS- WRINKLES/FINE LINES AND LIP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
701817 RHA 3 FILLER IMPLANT, DERMAL, FOR AESTHETIC USE LMH TEOXANE S.A.

Patients

Seq Age Sex Outcome Treatment
1 Female Other DYSPORT.| SERTRALINE 25 MG DAILY.| TYLENOL DURING THE COURSE OF THESE ADVERSE REACTIONS.