KY JELLY PERSONAL LUBRICANT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-10-26 for KY JELLY PERSONAL LUBRICANT manufactured by Reckitt Benckiser.

Event Text Entries

[58651166] Burning rash and pain in genitals where product was used. Symptoms are worse when continued use. I have used the same brand product lubricant (b)(4) liquid for years with no problems until i used this slightly different product (b)(4). Now i am having a rash that is continually burning if i keep using it. Rash discomfort allergic reaction. How was it taken or used: vaginal. Did the problem stop after the person reduced the dose or stopped taking or using the product? No. Did the problem return if the person started taking or using the product again? Yes. Sex intimacy.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5065644
MDR Report Key6060242
Date Received2016-10-26
Date of Report2016-10-25
Date of Event2016-10-23
Date Added to Maude2016-10-27
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameKY JELLY PERSONAL LUBRICANT
Generic NameKY JELLY PERSONAL LUBRICANT
Product CodeNUC
Date Received2016-10-26
Lot Number619752
ID Number619752
Device Expiration Date2018-07-31
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerRECKITT BENCKISER


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2016-10-26

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