BEUDAMED
    FDA Adverse Event Other Summary report: N

    SEARS OPTICAL

    MDR report key: 474188 · Received July 24, 2003

    Report

    Report Number
    MW1029110
    Event Type
    Other
    Date Received
    July 24, 2003
    Date of Event
    October 10, 1998
    Report Date
    July 24, 2003
    Manufacturer
    SEARS OPTICAL MONTCLAIR PLAZA
    Product Code
    HOI
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    UNABLE TO GET CORRECT PRESCRIPTION GLASSES FROM SEARS OPTICAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SEARS OPTICAL GLASSES HOI SEARS OPTICAL MONTCLAIR PLAZA * *

    Patients

    Seq Age Sex Outcome Treatment
    1 44 YR Other