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 |