{"identifier":"/us/usc/t21/s364a","title_num":"21","num":"§ 364a.","heading":"Adverse events","status":null,"guid":"idc636a86b-d05a-11f0-854d-ce0009290555","source_credit":"(June 25, 1938, ch. 675, § 605, as added Pub. L. 117–328, div. FF, title III, § 3502, Dec. 29, 2022, 136 Stat. 5848.)","seq_in_title":278,"parent_identifier":"/us/usc/t21/ch9/schVI","ancestors":[{"identifier":"/us/usc/t21","level":"title","num":"Title 21—","heading":"FOOD AND DRUGS","status":null,"is_section":false},{"identifier":"/us/usc/t21/ch9","level":"chapter","num":"CHAPTER 9—","heading":"FEDERAL FOOD, DRUG, AND COSMETIC ACT","status":null,"is_section":false},{"identifier":"/us/usc/t21/ch9/schVI","level":"subchapter","num":"SUBCHAPTER VI—","heading":"COSMETICS","status":null,"is_section":false}],"xml":"<section xmlns=\"http://xml.house.gov/schemas/uslm/1.0\" xmlns:xsi=\"http://www.w3.org/2001/XMLSchema-instance\" xmlns:dc=\"http://purl.org/dc/elements/1.1/\" xmlns:dcterms=\"http://purl.org/dc/terms/\" style=\"-uslm-lc:I80\" id=\"idc9851236-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a\"><num value=\"364a\">§ 364a.</num><heading> Adverse events</heading><subsection style=\"-uslm-lc:I19\" class=\"indent2 firstIndent-2\" id=\"idc9851237-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/a\"><num value=\"a\" class=\"bold\">(a)</num><heading class=\"bold\"> Serious adverse event reporting requirements</heading><content><p style=\"-uslm-lc:I11\" class=\"indent0\">The responsible person shall submit to the Secretary any report received of a serious adverse event associated with the use, in the United States, of a cosmetic product manufactured, packed, or distributed by such person.</p>\n</content>\n</subsection>\n<subsection style=\"-uslm-lc:I19\" class=\"indent2 firstIndent-2\" id=\"idc9851238-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/b\"><num value=\"b\" class=\"bold\">(b)</num><heading class=\"bold\"> Submission of reports</heading><paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idc9851239-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/b/1\"><num value=\"1\" class=\"bold\">(1)</num><heading class=\"bold\"> Serious adverse event report</heading><content><p style=\"-uslm-lc:I12\" class=\"indent1\">The responsible person shall submit to the Secretary a serious adverse event report accompanied by a copy of the label on or within the retail packaging of such cosmetic product no later than 15 business days after the report is received by the responsible person.</p>\n</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idc985123a-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/b/2\"><num value=\"2\" class=\"bold\">(2)</num><heading class=\"bold\"> New medical information</heading><content><p style=\"-uslm-lc:I12\" class=\"indent1\">The responsible person shall submit to the Secretary any new and material medical information, related to a serious adverse event report submitted to the Secretary in accordance with paragraph (1), that is received by the responsible person within 1 year of the initial report to the Secretary, no later than 15 business days after such information is received by such responsible person.</p>\n</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idc985123b-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/b/3\"><num value=\"3\" class=\"bold\">(3)</num><heading class=\"bold\"> Consolidation of reports</heading><content><p style=\"-uslm-lc:I12\" class=\"indent1\">The Secretary shall develop systems to enable responsible persons to submit a single report that includes duplicate reports of, or new medical information related to, a serious adverse event.</p>\n</content>\n</paragraph>\n</subsection>\n<subsection style=\"-uslm-lc:I19\" class=\"indent2 firstIndent-2\" id=\"idc985123c-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/c\"><num value=\"c\" class=\"bold\">(c)</num><heading class=\"bold\"> Exemptions</heading><content><p style=\"-uslm-lc:I11\" class=\"indent0\">The Secretary may establish by regulation an exemption to any of the requirements of this section if the Secretary determines that such exemption would have no significant adverse effect on public health.</p>\n</content>\n</subsection>\n<subsection style=\"-uslm-lc:I19\" class=\"indent2 firstIndent-2\" id=\"idc985123d-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/d\"><num value=\"d\" class=\"bold\">(d)</num><heading class=\"bold\"> Contact information</heading><content><p style=\"-uslm-lc:I11\" class=\"indent0\">The responsible person shall receive reports of adverse events through the domestic address, domestic telephone number, or electronic contact information included on the label in accordance with <ref href=\"/us/usc/t21/s364e/a\">section 364e(a) of this title</ref>.</p>\n</content>\n</subsection>\n<subsection style=\"-uslm-lc:I19\" class=\"indent2 firstIndent-2\" id=\"idc985123e-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/e\"><num value=\"e\" class=\"bold\">(e)</num><heading class=\"bold\"> Maintenance and inspection of adverse event records</heading><paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idc985123f-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/e/1\"><num value=\"1\" class=\"bold\">(1)</num><heading class=\"bold\"> Maintenance</heading><content><p style=\"-uslm-lc:I12\" class=\"indent1\">The responsible person shall maintain records related to each report of an adverse event associated with the use, in the United States, of a cosmetic product manufactured or distributed by such person received by such person, for a period of 6 years, except that a responsible person that is considered a small business for the purposes of <ref href=\"/us/usc/t21/s364h\">section 364h of this title</ref>, who does not engage in the manufacturing or processing of the cosmetic products described in sub<ref href=\"/us/usc/t21/s364h/b\">section 364h(b) of this title</ref>, shall maintain such records for a period of 3 years.</p>\n</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idc9851240-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/e/2\"><num value=\"2\" class=\"bold\">(2)</num><heading class=\"bold\"> Inspection</heading><subparagraph style=\"-uslm-lc:I18\" class=\"indent4 firstIndent-2\" id=\"idc9851241-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/e/2/A\"><num value=\"A\" class=\"bold\">(A)</num><heading class=\"bold\"> In general</heading><content><p style=\"-uslm-lc:I13\" class=\"indent2\"> The responsible person shall permit an authorized person to have access to records required to be maintained under this section during an inspection pursuant to <ref href=\"/us/usc/t21/s374\">section 374 of this title</ref>.</p>\n</content>\n</subparagraph>\n<subparagraph style=\"-uslm-lc:I18\" class=\"indent4 firstIndent-2\" id=\"idc9851242-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/e/2/B\"><num value=\"B\" class=\"bold\">(B)</num><heading class=\"bold\"> Authorized person</heading><chapeau style=\"-uslm-lc:I13\" class=\"indent2\">For purposes of this paragraph, the term “authorized person” means an officer or employee of the Department of Health and Human Services who has—</chapeau><clause style=\"-uslm-lc:I14\" class=\"indent3\" id=\"idc9851243-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/e/2/B/i\"><num value=\"i\">(i)</num><content> appropriate credentials, as determined by the Secretary; and</content>\n</clause>\n<clause style=\"-uslm-lc:I14\" class=\"indent3\" id=\"idc9851244-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/e/2/B/ii\"><num value=\"ii\">(ii)</num><content> been duly designated by the Secretary to have access to the records required under this section.</content>\n</clause>\n</subparagraph>\n</paragraph>\n</subsection>\n<subsection style=\"-uslm-lc:I19\" class=\"indent2 firstIndent-2\" id=\"idc9851245-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/f\"><num value=\"f\" class=\"bold\">(f)</num><heading class=\"bold\"> Fragrance and flavor ingredients</heading><content><p style=\"-uslm-lc:I11\" class=\"indent0\">If the Secretary has reasonable grounds to believe that an ingredient or combination of ingredients in a fragrance or flavor has caused or contributed to a serious adverse event required to be reported under this section, the Secretary may request in writing a list of such ingredients or categories of ingredients in the specific fragrances or flavors in the cosmetic product, from the responsible person. The responsible person shall ensure that the requested information is submitted to the Secretary within 30 days of such request. In response to a request under <ref href=\"/us/usc/t5/s552\">section 552 of title 5</ref>, information submitted to the Secretary under this subsection shall be withheld under <ref href=\"/us/usc/t5/s552/b/3\">section 552(b)(3) of title 5</ref>.</p>\n</content>\n</subsection>\n<subsection style=\"-uslm-lc:I19\" class=\"indent2 firstIndent-2\" id=\"idc9851246-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/g\"><num value=\"g\" class=\"bold\">(g)</num><heading class=\"bold\"> Protected information</heading><chapeau style=\"-uslm-lc:I11\" class=\"indent0\">A serious adverse event report submitted to the Secretary under this section, including any new medical information submitted under subsection (b)(2), or an adverse event report, or any new information, voluntarily submitted to the Secretary shall be considered to be—</chapeau><paragraph style=\"-uslm-lc:I12\" class=\"indent1\" id=\"idc9851247-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/g/1\"><num value=\"1\">(1)</num><content> a safety report under <ref href=\"/us/usc/t21/s379v\">section 379v of this title</ref> and may be accompanied by a statement, which shall be a part of any report that is released for public disclosure, that denies that the report or the records constitute an admission that the product involved caused or contributed to the adverse event; and</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I12\" class=\"indent1\" id=\"idc9851248-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/g/2\"><num value=\"2\">(2)</num><content> a record about an individual under <ref href=\"/us/usc/t5/s552a\">section 552a of title 5</ref> (commonly referred to as the “Privacy Act of 1974”) and a medical or similar file the disclosure of which would constitute a violation of section 552 of such title 5 (commonly referred to as the “Freedom of Information Act”), and shall not be publicly disclosed unless all personally identifiable information is redacted.</content>\n</paragraph>\n</subsection>\n<subsection style=\"-uslm-lc:I19\" class=\"indent2 firstIndent-2\" id=\"idc9851249-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/h\"><num value=\"h\" class=\"bold\">(h)</num><heading class=\"bold\"> Effect of section</heading><paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idc985124a-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/h/1\"><num value=\"1\" class=\"bold\">(1)</num><heading class=\"bold\"> In general</heading><content><p style=\"-uslm-lc:I12\" class=\"indent1\">Nothing in this section shall affect the authority of the Secretary to provide adverse event reports and information to any health, food, or drug officer or employee of any State, territory, or political subdivision of a State or territory, under a memorandum of understanding between the Secretary and such State, territory, or political subdivision.</p>\n</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idc985124b-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/h/2\"><num value=\"2\" class=\"bold\">(2)</num><heading class=\"bold\"> Personally identifiable information</heading><chapeau style=\"-uslm-lc:I12\" class=\"indent1\">Notwithstanding any other provision of law, personally-identifiable information in adverse event reports provided by the Secretary to any health, food, or drug officer or employee of any State, territory, or political subdivision of a State or territory, shall not—</chapeau><subparagraph style=\"-uslm-lc:I13\" class=\"indent2\" id=\"idc985124c-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/h/2/A\"><num value=\"A\">(A)</num><content> be made publicly available pursuant to any State or other law requiring disclosure of information or records; or</content>\n</subparagraph>\n<subparagraph style=\"-uslm-lc:I13\" class=\"indent2\" id=\"idc985124d-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/h/2/B\"><num value=\"B\">(B)</num><content> otherwise be disclosed or distributed to any party without the written consent of the Secretary and the person submitting such information to the Secretary.</content>\n</subparagraph>\n</paragraph>\n<paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idc985124e-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/h/3\"><num value=\"3\" class=\"bold\">(3)</num><heading class=\"bold\"> Use of reports</heading><content><p style=\"-uslm-lc:I12\" class=\"indent1\">Nothing in this section shall permit a State, territory, or political subdivision of a State or territory, to use any safety report received from the Secretary in a manner inconsistent with this section.</p>\n</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idc985124f-f339-11ed-b7d6-eb7e2ad38908\" identifier=\"/us/usc/t21/s364a/h/4\"><num value=\"4\" class=\"bold\">(4)</num><heading class=\"bold\"> Rule of construction</heading><content><p style=\"-uslm-lc:I12\" class=\"indent1\">The submission of any report in compliance with this section shall not be construed as an admission that the cosmetic product involved caused or contributed to the relevant adverse event.</p>\n</content>\n</paragraph>\n</subsection>\n<sourceCredit id=\"idc9851250-f339-11ed-b7d6-eb7e2ad38908\">(<ref href=\"/us/act/1938-06-25/ch675/s605\">June 25, 1938, ch. 675, § 605</ref>, as added <ref href=\"/us/pl/117/328/dFF/tIII/s3502\">Pub. L. 117–328, div. FF, title III, § 3502</ref>, <date date=\"2022-12-29\">Dec. 29, 2022</date>, <ref href=\"/us/stat/136/5848\">136 Stat. 5848</ref>.)</sourceCredit>\n<notes type=\"uscNote\" id=\"idc9851251-f339-11ed-b7d6-eb7e2ad38908\">\n<note style=\"-uslm-lc:I74\" role=\"crossHeading\" topic=\"statutoryNotes\" id=\"idc9851252-f339-11ed-b7d6-eb7e2ad38908\"><heading class=\"centered\"><b>Statutory Notes and Related Subsidiaries</b></heading></note>\n<note style=\"-uslm-lc:I74\" topic=\"miscellaneous\" id=\"idc9851253-f339-11ed-b7d6-eb7e2ad38908\"><heading class=\"centered smallCaps\">Construction; Confidentiality</heading><p style=\"-uslm-lc:I21\" class=\"indent0\">Nothing in <ref href=\"/us/pl/117/328/s3502\">section 3502 of Pub. L. 117–328</ref>, which enacted this section, to be construed to authorize the disclosure of information that is prohibited from disclosure under <ref href=\"/us/usc/t21/s331/j\">section 331(j) of this title</ref> or <ref href=\"/us/usc/t18/s1905\">section 1905 of title 18</ref> or that is subject to withholding under <ref href=\"/us/usc/t5/s552/b/4\">section 552(b)(4) of title 5</ref>, see <ref href=\"/us/pl/117/328/s3503/c/2\">section 3503(c)(2) of Pub. L. 117–328</ref>, set out as a note under <ref href=\"/us/usc/t21/s364\">section 364 of this title</ref>.</p>\n</note>\n</notes>\n</section>","provision":null,"duplicates":[],"release":{"label":"119-43","currency_date":"2025-12-01","congress":119,"law_num":43,"excluded_laws":[],"update_num":null,"seq":362,"is_partial":false,"caveat":null,"titles_affected":["01","02","05","07","10","11a","12","16","18","18a","21","22","26","28","28a","38","42","49","54"],"ingested_titles":[]},"served_from":{"label":"119-43","currency_date":"2025-12-01","congress":119,"law_num":43,"excluded_laws":[],"update_num":null,"seq":362,"is_partial":false,"caveat":null,"titles_affected":["01","02","05","07","10","11a","12","16","18","18a","21","22","26","28","28a","38","42","49","54"],"ingested_titles":[]},"content_first_seen":{"label":"118-3","currency_date":"2023-04-10","congress":118,"law_num":3,"excluded_laws":[],"update_num":null,"seq":302,"is_partial":false,"caveat":null,"titles_affected":["01","02","03","05","05a","06","07","08","10","12","15","16","18","19","20","21","22","23","25","26","28","29","30","31","33","34","35","36","37","38","40","41","42","43","44","46","47","48","49","50","51","54"],"ingested_titles":[]},"is_exact":true,"note":null}