FDA Adverse Event Other Summary report: N

SIMIPLISSE BY DR BROWN

MDR report key: 3430315 · Received October 16, 2013

Report

Report Number
3008138005-2013-00007
Event Type
Other
Date Received
October 16, 2013
Date of Event
September 17, 2013
Report Date
October 16, 2013
Manufacturer
HANDI-CRAFT COMPANY
Product Code
HGY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ON (B)(6) 2013 CASE (B)(4) REPORTED THAT SHE HAD BEEN DIAGNOSED BY PHYSICIAN WITH MASTITIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
529542 SIMIPLISSE BY DR BROWN NONE HGY HANDI-CRAFT COMPANY S1006 UNK

Patients

Seq Age Sex Outcome Treatment
1 24 YR Other