MAUDE Adverse Event Report: Pringy Juvederm Voluma XC 27G 2 x 1mL; implant, dermal, for aesthetic use

Catalog Number	94640
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code	Subcutaneous Nodule (4548)
Date of Event	09/09/2026
Type of Reportable Event	Serious Injury
Event or Problem Description
A healthcare professional reported that 1 ml of juvéderm® voluma¿ xc in the chin, 0.5 ml of juvéderm® volbella¿ xc in the lips, and 1 ml of juvéderm® ultra xc.The patient experienced one large, delayed onset nodules on both sides of chin, two small, delayed onset nodules on the left lower lip, and three small, delayed onset nodules on the left upper lip.Recently the hcp reported performing a physical examination and treating patient with 5-fu.This was the initial use of the syringe.An additional follow-up will be provided.Symptoms are ongoing.Additionally, the patient reported an adverse event with an unspecified juvéderm® xc product and stated that a healthcare professional was asked to evaluate the lumps.The patient reported four areas of delayed-onset granulomas on the face following treatment approximately five months earlier, involving the upper lip, lower lip, and chin.The patient¿s lips were injected with juvéderm volbella® xc, and the chin was injected with juvéderm voluma® xc.The hcp injected a product to help reduce swelling, and the patient was also prescribed zyrtec and pepcid.
Additional Manufacturer Narrative
Clarification to h.6.Type of investigation code: the filler was injected into the patient and is not accessible for return.The syringe was not returned for evaluation.The event is a physiological complication and analysis of the device generally does not assist abbvie in determining a probable cause for this event.Further information regarding event, product, or patient details has been requested.No additional information is available at this time.A review of the device history record has been initiated.If any new, changed or corrected information is noted, a supplemental medwatch will be submitted.This is a known potential adverse event addressed in the product labeling.

• Brand Name: Juvederm Voluma XC 27G 2 x 1mL
• Common Device Name: implant, dermal, for aesthetic use
• Manufacturer (Section D): Pringy; route de promery; zone artisanale de pre-mairy; pringy 74370 ; FR 74370
• Manufacturer (Section G): Pringy; route de promery; zone artisanale de pre-mairy; pringy 74370 ; FR 74370
• Manufacturer Contact: terry ingram ; 2525 dupont drive; irvine, CA 92612 ; +1(847)936-6324
• MDR Report Key: 50809235
• Report Number: 3005113652-2026-01106
• Device Sequence Number: 18367735
• Product Code: LMH
• UDI-Device Identifier: 30888628000012
• UDI-Public: (01)30888628000012(17)270926(10)1005088608
• Combination Product (Y/N): Y
• Initial Reporter State: IL
• Initial Reporter Country: US
• PMA/510(K) Number: P110033
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2026
• Reporter Type: Manufacturer
• Report Source: Health Professional,Company Representative
• Initial Reporter Occupation: Nurse Practitioner
• Type of Report: Initial
• Report Date (Section B): 09/17/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Operator of Device: Health Professional
• Device Catalogue Number: 94640
• Device Lot Number: 1005088608
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Initial Date Received by Manufacturer: 09/10/2026
• Initial Report FDA Received Date: 09/17/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 10/26/2025
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Age: 54 YR
• Patient Sex: Female
• Patient Weight: 143 LB
• Patient Race: White