BEUDAMED
    FDA Adverse Event Other Summary report: N

    KROGER

    MDR report key: 3772061 · Received April 14, 2014

    Report

    Report Number
    1038758-2014-00009
    Event Type
    Other
    Date Received
    April 14, 2014
    Report Date
    April 11, 2014
    Manufacturer
    ASO LLC
    Product Code
    KGX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    ON (B)(4) 2014 - THE CONSUMER REPORTED A BLISTER AND FEVER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    228114 KROGER PLASTIC ANTIBACTERIAL 3/4" 60 CT BANDAGE KGX ASO LLC 111035111 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 Other