BEUDAMED
    FDA Adverse Event Other Summary report: N

    DOLLAR GENERAL/REXALL

    MDR report key: 3795522 · Received April 23, 2014

    Report

    Report Number
    1038758-2014-00014
    Event Type
    Other
    Date Received
    April 23, 2014
    Report Date
    April 22, 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)(6) 2014 - THE CONSUMER REPORTED TORN SKIN AND BLISTERING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    244721 DOLLAR GENERAL/REXALL ANTIBAC STRONG STRIPS & FABRIC HYPOALLER KGX ASO LLC 01727626228113 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 Other