FDA Adverse Event
Other
Summary report: N
CVS
MDR report key: 3783532
·
Received April 15, 2014
Report
- Report Number
- 1038758-2014-00012
- Event Type
- Other
- Date Received
- April 15, 2014
- Report Date
- April 14, 2014
- Manufacturer
- ASO LLC
- Product Code
- KGX
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
ON (B)(6) 2014: THE CONSUMER REPORTED A BAD RASH THAT REQUIRED A CREAM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 230860 | CVS | SHEER 3/4" 40 CT BANDAGES | KGX | ASO LLC | 05042834471 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |