MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-01-17 for TIFFANY EYEGLASSES manufactured by Goggles 4 U Dot Com.
[3175291]
I purchased a pair of prescription eyeglasses from (b)(6) and the online retailer filled the prescription using someone else? S prescription. I have been a repeat customer and suspected that there was an issue with the glasses that i had been purchasing from this retailer because each time i saw my eye doctor, my prescription changed (eyesight worsened). I contacted the retailer and informed him about the latest blunder and he acknowledged an error and offered a discount on future purchases, which i declined because i was mortified. I had been trusting this retailer with my eyesight for the past two years and to learn what i suspected is truly frightening to me. I am frightened mainly because the retailer only admitted fault because i complained. How many times has he messed up my prescription and i didn? T know? How many others has he made mistakes on and they don? T? Know it? Dates of use: (b)(6) 2012 - (b)(6) 2012. Diagnosis: vision strength.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5029190 |
| MDR Report Key | 2989448 |
| Date Received | 2013-01-17 |
| Date of Report | 2013-01-17 |
| Date of Event | 2012-11-13 |
| Date Added to Maude | 2013-03-07 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Reporter Occupation | PATIENT |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | TIFFANY EYEGLASSES |
| Generic Name | PRESCRIPTION EYEWARE |
| Product Code | HQZ |
| Date Received | 2013-01-17 |
| Lot Number | 100024161 |
| ID Number | 72493-BIFOCAL |
| Device Availability | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | GOGGLES 4 U DOT COM |
| Manufacturer Address | CERRITOS CA 90703 US 90703 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Congenital Not Applicablenomaly; 2. Hospitalization; 3. Life Threatening; 4. Other; 5. Required No Informationntervention; 6. Deathisabilit | 2013-01-17 |