FDA Adverse Event
Injury
Summary report: N
LYMA LASER
MDR report key: 22943367
·
Received September 2, 2025
Report
- Report Number
- MW5175513
- Event Type
- Injury
- Date Received
- September 2, 2025
- Date of Event
- July 1, 2025
- Report Date
- August 27, 2025
- Manufacturer
- LYMA LIFE, LTD
- Product Code
- OHS
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- NY, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
LYMA LASER CONTRIBUTED TO MAST CELL DEGRANULATION IN A MAST CELL ACTIVATION SYNDROME PATIENT. CAUSED ACUTE PSYCHOLOGICAL EFFECTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2450310 | LYMA LASER | LIGHT BASED OVER THE COUNTER WRINKLE REDUCTION | OHS | LYMA LIFE, LTD |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 69 YR | Female | Required Intervention | ARMOUR THYROID.| ZOLOFT. |