FDA Adverse Event Malfunction Summary report: N

QUICKVUE AT-HOME OTC COVID-19 TEST

MDR report key: 12558710 · Received September 30, 2021

Report

Report Number
0002024674-2021-00052
Event Type
Malfunction
Date Received
September 30, 2021
Date of Event
September 11, 2021
Report Date
September 30, 2021
Manufacturer
QUIDEL CORPORATION
Product Code
QKP
PMA / PMN Number
EUA210269
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

SUBJECT: QV SARS OTC - CHILD PUT REAGENT TUBE CAP INTO HIS MOUTH. REVIEWED SDS WITH CONSUMER AND RECOMMENDED TO CONTACT PHYSICIAN. INVESTIGATION CONCLUSION: NA. INVESTIGATION SUMMARY: TS REACHED OUT TFOR A WELL-CHECK NOTED THAT THEY ARE DOING FINE AND DO NOT REQUIRE ADDITIONAL SUPPORT ROOT CAUSE: CUSTOMER PROCEDURAL ERROR.

Additional Manufacturer Narrative · 0

SUBJECT: QV SARS OTC - CHILD PUT REAGENT TUBE CAP INTO HIS MOUTH. REVIEWED SDS WITH CONSUMER AND RECOMMENDED TO CONTACT PHYSICIAN. INVESTIGATION CONCLUSION: NA. INVESTIGATION SUMMARY: TS REACHED OUT TFOR A WELL-CHECK NOTED THAT THEY ARE DOING FINE AND DO NOT REQUIRE ADDITIONAL SUPPORT. ROOT CAUSE: CUSTOMER PROCEDURAL ERROR. FOLLOW-UP TO CHANGE PRODUCT CODE FROM QMN TO QKP (CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM).

Additional Manufacturer Narrative · 0

FOLLOW-UP TO CORRECT THE PRODUCT CODE TO QKP.

Description of Event or Problem · 0

QV SARS OTC - CHILD PUT REAGENT TUBE CAP INTO HIS MOUTH. REVIEWED SDS WITH CONSUMER AND RECOMMENDED TO CONTACT PHYSICIAN.

Description of Event or Problem · 0

QV SARS OTC - CHILD PUT REAGENT TUBE CAP INTO HIS MOUTH. REVIEWED SDS WITH CONSUMER AND RECOMMENDED TO CONTACT PHYSICIAN.

Description of Event or Problem · 0

QV SARS OTC - CHILD PUT REAGENT TUBE CAP INTO HIS MOUTH. REVIEWED SDS WITH CONSUMER AND RECOMMENDED TO CONTACT PHYSICIAN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1456161 QUICKVUE AT-HOME OTC COVID-19 TEST QUICKVUE AT-HOME OTC COVID-19 TEST QKP QUIDEL CORPORATION

Patients

Seq Age Sex Outcome Treatment
1