BEUDAMED
    FDA Adverse Event Other Summary report: N

    VICKS

    MDR report key: 517731 · Received March 23, 2004

    Report

    Report Number
    1314800-2004-00001
    Event Type
    Other
    Date Received
    March 23, 2004
    Date of Event
    November 1, 2003
    Report Date
    March 22, 2004
    Manufacturer
    KAZ, INC.
    Product Code
    KFZ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    CONSUMER LETTER RECEIVED INDICATING THAT PATIENT WAS BURNED BY VAPORIZER. CONSUMER INDICATED THAT PATIENT TOUCHED VAPORIZER WITH LEG AND WAS BURNED. NO OTHER DETAILS. CONSUMER WILL NOT RETURN PRODUCT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VICKS VAPORIZER KFZ KAZ, INC. V150 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other