BEUDAMED
    FDA Adverse Event Injury Summary report: N

    COLORED CONTACT LENS

    MDR report key: 7305714 · Received February 28, 2018

    Report

    Report Number
    MW5075616
    Event Type
    Injury
    Date Received
    February 28, 2018
    Date of Event
    February 14, 2018
    Report Date
    February 28, 2018
    Manufacturer
    UNK
    Product Code
    KYE
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    THE REPORTER STATES THAT THE CONTACT LENSES CAUSED HER PAIN. SHE WAS TOLD BY EYE DOCTOR NOT TO WEAR CONTACT LENSES FOR A FEW MONTHS. THE REPORTER STATES THAT SHE ACQUIRED THE CONTACT LENSES FROM A STORE IN THE MALL WITH THE ADDRESS OF (B)(6).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    148647 COLORED CONTACT LENS COLORED CONTACT LENS KYE UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 27 YR Required Intervention