Adverse Food Reaction Record from FDA

Report number: 2021-CFS-005498

Date created: 2021/06/10

Consumer age: 51 year(s)

Consumer sex: Female

Consumer reactions:

--Abdominal pain

--Discomfort

--Hepatic enzyme increased

Consumer outcomes:

--Disability


Products mentioned in this report:

Product name/brandRoleIndustry
KIRKLAND SIGNATURE GREEN TEA A BLEND OF SENCHA & MATCHA ITO EN SUSPECT Beverage Bases/Conc/Nectar
calcium( viactive 1 daily) CONCOMITANT Vit/Min/Prot/Unconv Diet(Human/Animal)
Fish oil(nature's bounty) CONCOMITANT Vit/Min/Prot/Unconv Diet(Human/Animal)
gummy multivitamins for women (vitafusion) CONCOMITANT Vit/Min/Prot/Unconv Diet(Human/Animal)
vitamin D( 1000 IU daily) CONCOMITANT Vit/Min/Prot/Unconv Diet(Human/Animal)

Disclaimer: Do not rely on this information to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Submission of an adverse event report does not constitute an admission that a product caused or contributed to an event. The information in these reports has not been scientifically or otherwise verified as to a cause and effect relationship and cannot be used to estimate incidence (occurrence rate) or to estimate risk.


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