BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LATEX GLOVES

    MDR report key: 5204424 · Received November 2, 2015

    Report

    Report Number
    MW5057702
    Event Type
    Injury
    Date Received
    November 2, 2015
    Date of Event
    October 23, 2015
    Report Date
    November 2, 2015
    Product Code
    OIG
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NH, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    ON (B)(6) 2015 I WAS AT A (B)(6) STORE IN (B)(6). I HAD NO ISSUES UNTIL I GOT TO THE CHECK OUT AND THEN I BEGAN TO HAVE AN ALLERGIC REACTION. MY EYES STARTED TO SELL AND WATER AND MY NOSE FILED AND MY LIPS BEGAN TO SWELL. THE BAGGER WAS WEARING VERY CHEAP LATEX GLOVES. THE REACTION CONTINUED EVEN THOUGH SHE MOVED BUT THE GLOVES WERE STILL AT HER STATION. SOMEONE ELSE BAGGED MY GROCERIES (I WAS ABLE TO STOP HER BEFORE SHE REALLY GOT GOING) AND WITHIN 20 MINUTES OF LEAVING THE AREA I WAS FINE. I HAVE AN ALLERGY TO LATEX GLOVES. TESTED IN 1990'S NONE SINCE THEN. EVENT ABATED AFTER USE STOPPED: YES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    726798 LATEX GLOVES LATEX GLOVES OIG

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR