FDA Adverse Event
Injury
Summary report: N
MICRONEEDLING DEVICE
MDR report key: 7079170
·
Received December 1, 2017
Report
- Report Number
- MW5073723
- Event Type
- Injury
- Date Received
- December 1, 2017
- Date of Event
- November 21, 2017
- Report Date
- November 30, 2017
- Manufacturer
- UNK
- Product Code
- GEY
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TN, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
I HAD MICRO NEEDLING DONE TO MY FOREHEAD AND FACE. AFTER THE PROCEDURE I HAD A SEVERE HEADACHE POUNDING. I COULDN'T WORK AND A WEEK LATER AM STILL IN PAIN. I WENT TO MY DOCTOR AND SHE SAID IT MOST LIKELY WAS AN ADVERSE REACTION TO MICRONEEDLING. I AM STILL IN SO MUCH PAIN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 854042 | MICRONEEDLING DEVICE | MICRO NEEDLE FOR GENERAL S/ PLASTIC | GEY | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 46 YR | Required Intervention |