FDA Adverse Event
Injury
Summary report: N
WELL AT WALGREENS
MDR report key: 6418705
·
Received March 20, 2017
Report
- Report Number
- 1460851-2017-00007
- Event Type
- Injury
- Date Received
- March 20, 2017
- Date of Event
- March 2, 2017
- Report Date
- March 20, 2017
- Manufacturer
- BIG WALL ENTERPRISES
- Product Code
- KFZ
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
CONSUMER REPORTED THAT WHILE USING THE PRODUCT, IT SPUTTERED HOT WATER ON USER'S FACE. THE USER HAS NOT REPORTED WHETHER THEY SOUGHT MEDICAL ATTENTION. THIS PRODUCT WAS RECALLED IN NOVEMBER 2015 AND HAS NOT BEEN SOLD AT (B)(6) STORES SINCE THAT TIME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 201293 | WELL AT WALGREENS | WARM STEAM INHALER | KFZ | BIG WALL ENTERPRISES | PJ011 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |