BEUDAMED
    FDA Adverse Event Summary report: N

    TIFFANY EYEGLASSES

    MDR report key: 2989448 · Received January 17, 2013

    Report

    Report Number
    MW5029190
    Date Received
    January 17, 2013
    Date of Event
    November 13, 2012
    Report Date
    January 17, 2013
    Manufacturer
    GOGGLES 4 U DOT COM
    Product Code
    HQZ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I PURCHASED A PAIR OF PRESCRIPTION EYEGLASSES FROM (B)(6) AND THE ONLINE RETAILER FILLED THE PRESCRIPTION USING SOMEONE ELSE¿S PRESCRIPTION. I HAVE BEEN A REPEAT CUSTOMER AND SUSPECTED THAT THERE WAS AN ISSUE WITH THE GLASSES THAT I HAD BEEN PURCHASING FROM THIS RETAILER BECAUSE EACH TIME I SAW MY EYE DOCTOR, MY PRESCRIPTION CHANGED (EYESIGHT WORSENED). I CONTACTED THE RETAILER AND INFORMED HIM ABOUT THE LATEST BLUNDER AND HE ACKNOWLEDGED AN ERROR AND OFFERED A DISCOUNT ON FUTURE PURCHASES, WHICH I DECLINED BECAUSE I WAS MORTIFIED. I HAD BEEN TRUSTING THIS RETAILER WITH MY EYESIGHT FOR THE PAST TWO YEARS AND TO LEARN WHAT I SUSPECTED IS TRULY FRIGHTENING TO ME. I AM FRIGHTENED MAINLY BECAUSE THE RETAILER ONLY ADMITTED FAULT BECAUSE I COMPLAINED. HOW MANY TIMES HAS HE MESSED UP MY PRESCRIPTION AND I DIDN¿T KNOW? HOW MANY OTHERS HAS HE MADE MISTAKES ON AND THEY DON¿T¿ KNOW IT? DATES OF USE: (B)(6) 2012 - (B)(6) 2012. DIAGNOSIS: VISION STRENGTH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    25862 TIFFANY EYEGLASSES PRESCRIPTION EYEWARE HQZ GOGGLES 4 U DOT COM 100024161

    Patients

    Seq Age Sex Outcome Treatment
    1 Congenital Anomaly| H| L| O| R| S