BEUDAMED
    FDA Adverse Event Injury Summary report: N

    KY BRAND MARQUE WARMING LIQUID

    MDR report key: 5553767 · Received April 1, 2016

    Report

    Report Number
    MW5061520
    Event Type
    Injury
    Date Received
    April 1, 2016
    Date of Event
    May 23, 2015
    Report Date
    April 1, 2016
    Product Code
    KMJ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NC, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I, ALONG WITH MY BOYFRIEND, WENT AWAY FOR A WEEKEND. I USED KY JELLY WARMING LIQUID. WELL, THAT WAS THE BEGINNING OF ONE OF THE WORST WEEKS IN MY LIFE AND ALSO THE WRECKING OF THE WEEKEND. FIRST, I CALLED AND THE PERSON I HAD TO SPEAK WITH WAS RUDE, DISINTERESTED, AND SAID THERE WAS NOTHING THAT SHE COULD DO. I ASKED TO SPEAK WITH THE MANGER IN CHARGE, SHE SAID SHE WAS THAT PERSON. I CONTACTED ATTORNEY (B)(6) TO REPRESENT ME AND HE SPOKE WITH (B)(6); REF: (B)(4). I HAVE TRIED TO CONTACT (B)(6) MYSELF BUT TO NO AVAIL. I'VE SUBSEQUENTLY TEXTED AND CALLED ATTORNEY (B)(6) AND HE HASN'T RESPONDED, WHICH LEAVES ME TO ASSUME HE DOESN'T HAVE ANY UPDATES. ALL INFO HAS BEEN FORWARDED VIA ATTORNEY TO KY (AS PER ATTORNEY). REASON FOR USE: DRYNESS. IS THE PRODUCT OVER THE COUNTER: YES; EVENT ABATED AFTER USE, STOPPED OR DOSE REDUCED: NO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    197939 KY BRAND MARQUE WARMING LIQUID KY JELLY WARMING LIQUID KMJ

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR