BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HYDROGEN PEROXIDE CONTACT SOLUTION, 3%

    MDR report key: 4888341 · Received June 28, 2015

    Report

    Report Number
    MW5043462
    Event Type
    Injury
    Date Received
    June 28, 2015
    Date of Event
    June 28, 2015
    Report Date
    June 28, 2015
    Manufacturer
    WALGREENS
    Product Code
    LPN
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    (B)(6) HYDROGEN PEROXIDE CLEANING AND DISINFECTING LENS CARE SYSTEM MADE MY EYES BURN WHEN IN PUT MY CONTACTS IN AFTER USE. I AM CONFIDENT I USED THE PRODUCT CORRECTLY BECAUSE I READ THE DIRECTIONS AND I HAVE BEEN USING CLEAR CARE (THE BRANDED VERSION) FOR ABOUT A YEAR. I PUT IN THE PROPER AMOUNT OF SOLUTION AND LET THE CONTACTS SIT FOR MORE THAN 6 HOURS. IT WAS A 2-PACK ITEM # (B)(6) LOT #132712 WITH EXPIRATION 02-2018. I THINK THEY FAILED TO GET THE CHEMICAL REACTION CORRECT WITH THEIR CASES AND THE SOLUTION. DATES OF USE: (B)(6)2015 - (B)(6) 2015. EVENT ABATES AFTER USE STOPPED: YES. EVENT REAPPEARED AFTER REINTRODUCTION: YES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    417262 HYDROGEN PEROXIDE CONTACT SOLUTION, 3% HYDROGEN PEROXIDE CONTACT SOLUTION, 3% LPN WALGREENS 132712

    Patients

    Seq Age Sex Outcome Treatment
    1 36 YR OTC MEDS: VITAMIN