BEUDAMED
    FDA Adverse Event Other Summary report: N

    DOLLAR GENERAL/REXALL

    MDR report key: 3777908 · Received April 18, 2014

    Report

    Report Number
    1038758-2014-00013
    Event Type
    Other
    Date Received
    April 18, 2014
    Report Date
    April 16, 2014
    Manufacturer
    ASO LLC
    Product Code
    KGX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    ON (B)(4) 2013 - THE CONSUMER REPORTED GETTING BLISTERS ON HIS TOES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    238942 DOLLAR GENERAL/REXALL ANTIBACTIERAL STRONG STRIPS 1" 20 CT KGX ASO LLC 017276228113 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 Other