FDA Adverse Event Injury Summary report: N

YOUNG CLEARDEFENSE 8ML

MDR report key: 23974321 · Received January 6, 2026

Report

Report Number
1941138-2025-00001
Event Type
Injury
Date Received
January 6, 2026
Date of Event
November 19, 2025
Report Date
December 18, 2025
Manufacturer
YOUNG DENTAL MANUFACTURING 1, LLC
Product Code
PHR
UDI-DI
00302730003307
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

YOUNG DENTAL HAS NOT RECEIVED ANY OTHER COMPLAINTS OR NOTIFICATIONS OF AN ALLERGIC REACTION FOR THIS PRODUCT.

Description of Event or Problem · 0

PATIENT HAD SWELLING UNDER THE LEFT EYE AND CHEEK 30 MINUTES AFTER BEING TREATED WITH CLEAR DEFENSE PRODUCT IN UPPER LEFT QUADRANT OF MOUTH OF ONE .05ML DROP ACROSS THREE MAXILLARY TEETH FOR TREATING "HYPERSENSITIIVTY." 4% ARTICAINE 1:100,000 EPI LOWER LEFT QUADRANT ALSO USED AT DENTAL VISIT. PATIENT WENT TO URGENT CARE AND WAS DIAGNOSED WITH AN ALLERGIC REACTION AND WAS SUCCESSFULLY TREATED WITH BENADRYL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
38590 YOUNG CLEARDEFENSE 8ML VARNISH PHR YOUNG DENTAL MANUFACTURING 1, LLC 276085 00302730003307

Patients

Seq Age Sex Outcome Treatment
1 15 YR Female Required Intervention