FDA Adverse Event Other Summary report: N

BREATHE RIGHT NASAL STRIPS

MDR report key: 2445525 · Received February 3, 2012

Report

Report Number
3004486989-2012-00001
Event Type
Other
Date Received
February 3, 2012
Report Date
February 2, 2012
Manufacturer
GLAXOSMITHKLINE
Product Code
LWF
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

THIS CASE WAS REPORTED BY STAFF FROM A "DRUG STORE" AND DESCRIBED THE OCCURRENCE OF LOSS OF SMELL IN A FEMALE PT OF ABOUT (B)(6) YEARS WHO RECEIVED BREATHE RIGHT NASAL STRIPS FOR NASAL CONGESTION. A PHYSICIAN OR OTHER HEALTH CARE PROFESSIONAL HAS NOT VERIFIED THIS REPORT. IN THE MIDDLE OF (B)(6) 2011 THE PT STARTED BREATHE RIGHT NASAL STRIPS (USED EXTERNALLY). IT WAS REPORTED THAT "THE PT HAD USED THE NASAL STRIP FOR ABOUT 2 TO 3 TIMES, AND EACH TIME SHE USED IT FOR MORE THAN 12 HOURS". AT AN UNK TIME WHEN TREATMENT WITH BREATHE RIGHT NASAL STRIPS WAS DISCONTINUED, THE PT EXPERIENCED LOSS OF SMELL. THIS CASE WAS ASSESSED AS MEDICALLY SERIOUS BY (B)(4). AT THE TIME OF REPORTING, THE EVENT WAS UNRESOLVED. BREATHE THE RIGHT NASAL STRIPS ARE MANUFACTURED IN (B)(4), AND NEITHER THE LOT NUMBER NOR THE PRODUCT WAS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BREATHE RIGHT NASAL STRIPS BREATHE RIGHT NASAL STRIPS LWF GLAXOSMITHKLINE NA

Patients

Seq Age Sex Outcome Treatment
1 Other