BEUDAMED
    FDA Adverse Event Other Summary report: N

    CVS

    MDR report key: 2985480 · Received February 26, 2013

    Report

    Report Number
    1038758-2013-00010
    Event Type
    Other
    Date Received
    February 26, 2013
    Date of Event
    June 22, 2012
    Report Date
    February 22, 2013
    Manufacturer
    ASO LLC
    Product Code
    KGX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    RI, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED A REACTION AFTER USING CVS ADHESIVE PADS MEDIUM 2 1/4 INCHES X 3 INCHES AROUND WHERE THE ADHESIVE PART GOT IN CONTACT WITH HER SKIN. SHE HAS A RASH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    81038 CVS ADHESION BANDAGES KGX ASO LLC 050428955543 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 Other