PA - Panera sued by parents after daughter Sarah Katz, 21, died of cardiac arrest after drinking Charged Lemonade, 2022 - Philadelphia, 23 Oct 2023

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@iluvmua Thanks for your post pointing this out.
Yes, right there: "Strawberry Lemon Mint - With Guarana & Caffeine" like it's part of bevy name. Same for both other flavors.
Next click shows:
- "CONTAINS CAFFEINE" caption for bevy pic.
- "Nutrition & Allergens" w 259 mg caffeine, reg. size (default = 20 oz).
Seems that would have provided sufficient info to user.

My thoughts & posts have zigged and zagged about sufficiency/insufficiency of Panera's disclosure.
Now seeing more disclosure on more of this wayback link, I'm zigging in the direction of (not yet final) of sufficient disclosure, that is, IF order was placed online.


_____________________________________
(BTW, FWIW previously I clicked the green call-to-action "Add" button like trying to order, and got nowhere. Clicking on pic of bevy in glass itself took me to new page w bigger pic of glass, and an even bigger "CONTAINS CAFFEINE" caption. This page shows "Nutrition & Allergens" and gives the caffeine count. Regular size (default = 20 oz), 259 mg.
From that page or point, user can click on the green call-to-action "Start an order" button. Next page continues w request to sign in to MyPanera, or sign in on Facebook, or as a guest. I tried to continue as guest, went nowhere.
I'm assuming the order was made in person, not via app or online. If it were as clear cut as ordering online and the customer dismissed the nutrition facts which are provided when ordering the drink, I don't think we'd be here talking about it. Jmo.

Did the customer dispense their own drink and was there adequate signage? The yellow disclaimer is not IMO sufficient as it doesn't say how much caffeine per serving size. Again JMO but that's too much caffeine for one regular serving!
 
I've had this...can attest that the caffeine hits you fast! IMO way more caffeine than is necessary. One reason is because American drink sizes are so big, and it's easy to drink fast, so you get a lot of caffeine at all.
The caffeine content is mentioned online, and is mentioned in the touchscreen self-service checkouts some locations have now, but I can't recall it being on the actual written menu on the wall or on the self-service lemonade jugs up front (at this location you got a cup and chose your drink yourself). If is written there...it is written small and is not super noticeable. I can't blame Sarah for not seeing it. Another thing I was thinking when I saw the self-service style is that a child could choose this flavor without realizing what's in it.
In terms of the name 'Charged Lemonade'..these retail stores routinely come out with fancy new mixed drinks, and if I wasn't paying attention, I might assume charged meant ''new better taste'' or something like that. I'm not sure where I stand on this lawsuit.
Yes. Makes me wonder if they had any other "flavors/types" of lemonade on the menu, or at the self-service soda bar. For instance, was there a "regular" lemonade and a "Charged Lemonade"?

ETA: I read upstream and there were other flavors of the "Charged Lemonade." But, I still have the question of was there an "[Un-]Charged" version of lemonade with no caffeine? Also, was it self-serve soda bar, or served to her?
 
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FDA. Restrictions re Caffeine Content; Disclosures re Caffeine Content.
What does the FDA have to say? I haven't done my own research therefore cannot verify that the info below is accurate but FWIW...
I read an article that references the FDA. Apparently (ICBW), the guidelines state 68 mgs per 12 oz is acceptable. It also states that there are limits on cola-type beverages which contain caffeine and that energy drinks are considered supplements. I've also read that there is a legal limit with regard to caffeine and packaging/container size. Meaning, drinks containing a certain amount of caffeine can not exceed a certain size container.
@whiterhino Thx for your post zeroing in on an extreeemely relevant point - FDA regs re (1) classification of caffeine-containing products. (2) whether label must disclose that the product contains caffeine. (3) whether the label must disclose the amount of caffeine. (4) whether FDA restricts the amount of caffeine in this classification of product.

If I'm interpreting Table 1* info in article below correctly, seems per FDA reg's:
(1) "Charged lemonade" would fall within classification of "Foods with added caffeine (classified as conventional foods)." Examples of items in this classification include Jelly Belly “Extreme Sport Beans” and Perky Jerky beef jerky and Wrigley's Alert Energy Caffeine Gum.
(2) Label must indicate that the product contains caffeine.
(3) Label is not required to indicate caffeine quantity in this product.
(^Assuming it was not an "energy drink" which would fall into a different FDA classification, which would require label to indicate caffeine quantity.^)
(4) FDA reg's do not limit caffeine quantity in this product.
(^Assuming Panera's charged lemonade was not a "carbonated soda with added caffeine," which would fall into a different FDA classification and would limit caffeine quantity.^)

Regarding ^ comment about" 68 mgs per 12 oz" IIUC, that reg. may apply to products FDA classifies as ""carbonated soda with added caffeine" or possibly another of the five classifications described in linked 2013 article from "Journal of Caffeine Research."

I welcome corrections on any (mis?)interpretations in this post.
A very complex set of reg's and I'm not sure if FDA reg's summarized below were in effect in Sept 2022, the time of woman's tragic death.

Regardless, sad, sad, sad.

___________________________________________________
Tedious Detail Alert. :(
"FDA regulation of caffeine-containing products is byzantine.14 We have identified five distinct categories of consumable products that contain caffeine, each of which is regulated differently by the FDA (see Table 1)."
"Within the category of conventional foods, there are three subcategories of caffeine-containing products useful to keep distinct because they are regulated differently: foods and beverages with naturally occurring caffeine, such as coffee and tea; carbonated sodas with added caffeine; and other foods containing added caffeine, such as caffeinated chewing gum, potato chips, and other snack food. Of all these product types, only over-the-counter drugs and carbonated sodas have limits on added caffeine. Only over-the-counter drugs are required to list caffeine quantity on the product label."
"Table 1.
Categories of Caffeine-Containing Products and Regulatory Requirements"

"Caffeine content
"Foods and beverages with naturally occurring caffeine, such as coffee and tea, have no limits on caffeine content. Carbonated sodas do have limits on added caffeine... the FDA instead placed a limit on caffeine added to carbonated beverages of 0.02% concentration, or 71 mg for a 12 ounce beverage.5
"In contrast to caffeinated sodas, there are no limits on the caffeine that may be added to other foods and beverages. An increasing number of food products with added caffeine are being introduced, including gum, jelly beans, potato chips, beef jerky, and waffles.18."

Article republished at:
 
Yes. Makes me wonder if they had any other "flavors/types" of lemonade on the menu, or at the self-service soda bar. For instance, was there a "regular" lemonade and a "Charged Lemonade"?
ETA: I read upstream and there were other flavors of the "Charged Lemonade." But, I still have the question of was there an "[Un-]Charged" version of lemonade with no caffeine? Also, was it self-serve soda bar, or served to her?
@alexwood Excellent questions.
I too am wondering about the self-serve issue and whether Panera offered a "regular lemonade."
 
Disclaimer?
....Did the customer dispense their own drink and was there adequate signage? The yellow disclaimer is not IMO sufficient as it doesn't say how much caffeine per serving size....
snipped for focus @whiterhino
IIUC (as noted in earlier post) FDA reg's would require the "charged lemonade" label to disclose that the product contained caffeine but would not require disclosure of the amt of caffeine per serving size. But I could be wrong and/or FDA reg's may have changed after the article I relied on was published.

As the "Journal of Caffeine Research" article said---""FDA regulation of caffeine-containing products is byzantine."

"Journal of Caffeine Research" Who knew? The things we learn on this forum. :)

My earlier post:
 
Propranolol or other beta blockers are often prescribed for LQTS.

Apologies. I believe it used to be that beta blockers were only recommended for symptomatic patients after seizure or syncopal episode, but I looked it up and you are correct. It's now recommended for most patients.


So @whiterhino is correct. We don't know if she was on medication.
 
an interesting chart of caffeine content of beverages, some foods and snacks

wonder if SK avoided all of these and I wonder if it was hot out
and Panera has free refills, so maybe more than one large cup consumed?

some information about guarana:


Guarana

1699034367234.png
WebMD
https://www.webmd.com › ... › Reference

Guarana Provides Additional Stimulation over Caffeine ...

1699034367193.png
National Institutes of Health (.gov)
https://www.ncbi.nlm.nih.gov › articles › PMC4399916


by D Moustakas · 2015 · Cited by 60 — The mix of other natural chemicals contained in guarana seeds is thought to heighten the stimulant effects of guarana over caffeine alone. Yet, ...






Sep 13, 2023 — Guarana is derived from the seeds of a South American tree. Because it's high in caffeine, guarana has become a popular energy supplement.
 
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I'm assuming the order was made in person, not via app or online. If it were as clear cut as ordering online and the customer dismissed the nutrition facts which are provided when ordering the drink, I don't think we'd be here talking about it. Jmo.

Did the customer dispense their own drink and was there adequate signage? The yellow disclaimer is not IMO sufficient as it doesn't say how much caffeine per serving size. Again JMO but that's too much caffeine for one regular serving!

The lemonade dispensers are near the soda dispensers. All self service. Every dispenser is labeled with calories content and the charged lemonade varieties is also labeled with caffeine content. There are also dispensers of iced teas and regular lemonades, also labeled with calorie content.

I’m very familiar with Panera, I visit different locations but almost every day I will order a drink on the app and go inside to get it, at one location or another. I belong to the “Sip Club” where you pay a monthly price for unlimited coffees, teas, lemonades, and sodas, at any Panera location. I travel for work and almost everywhere I go there are Panera locations.
 
@alexwood Excellent questions.
I too am wondering about the self-serve issue and whether Panera offered a "regular lemonade."
Yes, they always offer both charged and regular lemonades in self serve dispensers. They are all labeled with flavor, calorie content, and caffeine content for the charged lemonade varieties. The three charged lemonades are always separate from the regular lemonade.
 
Wow. Interesting. I feel like Panera's green tea has super high levels of caffeine. This stuff must be insane.
@TTF14
Have you checked Panera's online menu for mg of caffeine in the specific green tea you drink there? I see a couple green teas listed.
Just curious.
 
@TTF14
Have you checked Panera's online menu for mg of caffeine in the specific green tea you drink there? I see a couple green teas listed.
Just curious.
No, I haven't. I should do that. I hardly ever go there, but I will check that out for sure.
 
Agree. I have a heart condition and would never try an energy drink because of it. I would also never assume a lemonade would be like an energy drink (or worse). I'd have to know more about the packaging, etc.
has your dr specifically said "no caffeine?" ..no chocolate? no colas? just curious because I wonder what kind of instructions people get. There was a case awhile ago where i remember a man suing a restaurant for serving him caffeinated coffee when he ordered decaf... I was younger when I read about it and thought it was "extreme" but now it seems as if some of these drinks/foods/bars are dangerous.
 
FDA. Restrictions re Caffeine Content; Disclosures re Caffeine Content.

@whiterhino Thx for your post zeroing in on an extreeemely relevant point - FDA regs re (1) classification of caffeine-containing products. (2) whether label must disclose that the product contains caffeine. (3) whether the label must disclose the amount of caffeine. (4) whether FDA restricts the amount of caffeine in this classification of product.

If I'm interpreting Table 1* info in article below correctly, seems per FDA reg's:
(1) "Charged lemonade" would fall within classification of "Foods with added caffeine (classified as conventional foods)." Examples of items in this classification include Jelly Belly “Extreme Sport Beans” and Perky Jerky beef jerky and Wrigley's Alert Energy Caffeine Gum.
(2) Label must indicate that the product contains caffeine.
(3) Label is not required to indicate caffeine quantity in this product.
(^Assuming it was not an "energy drink" which would fall into a different FDA classification, which would require label to indicate caffeine quantity.^)
(4) FDA reg's do not limit caffeine quantity in this product.
(^Assuming Panera's charged lemonade was not a "carbonated soda with added caffeine," which would fall into a different FDA classification and would limit caffeine quantity.^)

Regarding ^ comment about" 68 mgs per 12 oz" IIUC, that reg. may apply to products FDA classifies as ""carbonated soda with added caffeine" or possibly another of the five classifications described in linked 2013 article from "Journal of Caffeine Research."

I welcome corrections on any (mis?)interpretations in this post.
A very complex set of reg's and I'm not sure if FDA reg's summarized below were in effect in Sept 2022, the time of woman's tragic death.

Regardless, sad, sad, sad.

___________________________________________________
Tedious Detail Alert. :(
"FDA regulation of caffeine-containing products is byzantine.14 We have identified five distinct categories of consumable products that contain caffeine, each of which is regulated differently by the FDA (see Table 1)."
"Within the category of conventional foods, there are three subcategories of caffeine-containing products useful to keep distinct because they are regulated differently: foods and beverages with naturally occurring caffeine, such as coffee and tea; carbonated sodas with added caffeine; and other foods containing added caffeine, such as caffeinated chewing gum, potato chips, and other snack food. Of all these product types, only over-the-counter drugs and carbonated sodas have limits on added caffeine. Only over-the-counter drugs are required to list caffeine quantity on the product label."
"Table 1.
Categories of Caffeine-Containing Products and Regulatory Requirements"

"Caffeine content
"Foods and beverages with naturally occurring caffeine, such as coffee and tea, have no limits on caffeine content. Carbonated sodas do have limits on added caffeine... the FDA instead placed a limit on caffeine added to carbonated beverages of 0.02% concentration, or 71 mg for a 12 ounce beverage.5
"In contrast to caffeinated sodas, there are no limits on the caffeine that may be added to other foods and beverages. An increasing number of food products with added caffeine are being introduced, including gum, jelly beans, potato chips, beef jerky, and waffles.18."

Article republished at:
Thank you!

The only reason I even thought of it is because I've become hooked on these Starbucks canned coffees. I thought I should look it up after the kick I got from it. Turns out it has caffeine, ginseng, taurine and guarana plus vitamins therefore an energy drink. Different classification!

Got me wondering if there are different FDA regulations for "fountain drinks" versus caffeinated drinks that are contained, as in a can or a bottle.

I wonder how much of a role these FDA restrictions might play into this case?
 
Apologies. I believe it used to be that beta blockers were only recommended for symptomatic patients after seizure or syncopal episode, but I looked it up and you are correct. It's now recommended for most patients.


So @whiterhino is correct. We don't know if she was on medication.
Thank you but to be fair, I only surmised that she may have been on medication for her condition. We still don't know and it probably doesn't affect the outcome regardless.

Do you know, if age has anything to do with medication with regard to treatment? Just curious.
 
The lemonade dispensers are near the soda dispensers. All self service. Every dispenser is labeled with calories content and the charged lemonade varieties is also labeled with caffeine content. There are also dispensers of iced teas and regular lemonades, also labeled with calorie content.

I’m very familiar with Panera, I visit different locations but almost every day I will order a drink on the app and go inside to get it, at one location or another. I belong to the “Sip Club” where you pay a monthly price for unlimited coffees, teas, lemonades, and sodas, at any Panera location. I travel for work and almost everywhere I go there are Panera locations.
Admittedly, I've never been to a Panera in my life so thank you for answering!

Is there any way to get the dispensers mixed up or something? Are all the cups the same size etc? It's just hard for me to imagine that it's possible to get a cup large enough to contain that much caffeine. It seems irresponsible. Almost like how they have those giant yard glasses of booze in Vegas, you know?
 
Thank you but to be fair, I only surmised that she may have been on medication for her condition. We still don't know and it probably doesn't affect the outcome regardless.

Do you know, if age has anything to do with medication with regard to treatment? Just curious.

I don't want to give wrong information, so I'll just say I'm not positive. I don't treat Long QT, though I see it in my patients from time to time (they're usually followed by PCP or cardiology). I treat adults and transitional age young adult population. When I see one with it, I have to make sure I'm not prescribing a med they shouldn't have.
 
Admittedly, I've never been to a Panera in my life so thank you for answering!

Is there any way to get the dispensers mixed up or something? Are all the cups the same size etc? It's just hard for me to imagine that it's possible to get a cup large enough to contain that much caffeine. It seems irresponsible. Almost like how they have those giant yard glasses of booze in Vegas, you know?
When you order a drink at the counter, they hand you an empty cup. You fill it yourself at the drink counter, which is the area with the soda fountain, varieties of lemonade and iced tea, and charged lemonades.

There is also an ice dispenser, lids, and straws.

The cups are 20 oz (regular) and 30 ounce (large) and most people fill them half full of ice. So the amount of drink you get is is much less than 20 oz or 30 oz, considering the ice.

There is a coffee bar too, usually in a different area, not near the drink counter

I have visited a few Panera locations in inner-city areas where they do not have self-serve drinks. In those restaurants the employees prepare your drink behind the counter and hand it to you. That happens in restaurants where there has been a problem with people walking in and stealing drinks by bringing in their own cups and filling at the self serve dispensers without paying.
 
Canned or Bottled Coffee Drinks.
Thank you!
.... I've become hooked on these Starbucks canned coffees.... Turns out it has caffeine, ginseng, taurine and guarana plus vitamins therefore an energy drink. Different classification!
.... FDA regulations for... caffeinated drinks that are contained, as in a can or a bottle....
I wonder how much of a role these FDA restrictions might play into this case?
snipped for focus @whiterhino You are entirely welcome.

Wow, "caffeine, ginseng, taurine and guarana plus vitamins therefore an energy drink."
Yes, seems ^this^ one of your favorites would be in a different FDA classication (re limiting caffeine content & specifying mg's of caffeine) than the "charged lemonade" bevy identified in wrongful death lawsuit. jmo

Your ^list^ of ingredients sounds like a lotta oomph, w caffeine & gaurana being stimulants, but IDK if the other ingredients - ginseng, taurine, vitamins - are actually stimulants. Again, jmo.

Does your can specify mg's of caffeine per serving or per can?
Is a link to the can's label w "Nutrition Facts" handy?
 
Admittedly, I've never been to a Panera in my life so thank you for answering!

Is there any way to get the dispensers mixed up or something? Are all the cups the same size etc? It's just hard for me to imagine that it's possible to get a cup large enough to contain that much caffeine. It seems irresponsible. Almost like how they have those giant yard glasses of booze in Vegas, you know?
I took some photos at the Panera location where I am this morning.

This is an older, smaller Panera. The newer or larger locations have a larger area for the drink station. These dispensers are closer together than most locations because this location is very small.
 

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