BENGAY MOIST HEAT THERAPY

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04 report with the FDA on 2009-05-15 for BENGAY MOIST HEAT THERAPY manufactured by Johnson And Johnson Group Of Consumer Companies.

Event Text Entries

[1194408] This was a spontaneous report from a female consumer reporting on herself. The consumer reported applying one bengay moist heat therapy pad (no active ingredient) once daily as needed beginning 2009 for minor aches and pains. After application the following month, the consumer's face was swollen. She reported that she has a history of asthma and environmental and medication allergies, and stated that she may have touched her face after handling the product. On the same date, she visited a physician who prescribed steroids and gave her an injection of benadryl (diphendydramine). Product use was discontinued the same day. As of the date of her report, the next day, the outcome of the event was not resolved. This case is serious (medically significant).
Patient Sequence No: 1, Text Type: D, B5


[8147235] The product was not returned for failure analysis/laboratory testing. It cannot be ruled out that the product may have possibly caused the event.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2246407-2009-00006
MDR Report Key1387655
Report Source04
Date Received2009-05-15
Date of Report2009-05-08
Date of Event2009-05-07
Date Mfgr Received2009-05-08
Date Added to Maude2009-05-26
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer Street185 TABOR ROAD
Manufacturer CityMORRIS PLAINS NJ 07950
Manufacturer CountryUS
Manufacturer Postal07950
Manufacturer Phone9733852990
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBENGAY MOIST HEAT THERAPY
Generic NamePAD, MEDICATED, ADHESIVE, NON-ELECTRIC
Product CodeOMW
Date Received2009-05-15
Lot NumberASPT
Device Expiration Date2010-01-31
OperatorLAY USER/PATIENT
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerJOHNSON AND JOHNSON GROUP OF CONSUMER COMPANIES
Manufacturer AddressMORRIS PLAINS NJ 07950 US 07950


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2009-05-15

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