FDA Adverse Event Malfunction Summary report: N

SYPHILIS TREPONEMAL ANTIBODY TEST (MHA-TP)

MDR report key: 13472014 · Received February 4, 2022

Report

Report Number
MW5107223
Event Type
Malfunction
Date Received
February 4, 2022
Report Date
February 2, 2022
Manufacturer
UNK
Product Code
MYR
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
FL, US
Reporter Occupation
PATIENT
Health Professional
*

Narratives

Description of Event or Problem · 0

GREETINGS, I AM A LONG TIME (MANY YEARS) BLOOD DONOR AND ONE BLOOD, THE DONOR ORGANIZATION HERE IN (B)(6), ROUTINELY TESTS MY DONATED BLOOD. MY DONATION WAS REJECTED IN THE PAST FEW MONTHS DUE TO A (B)(6) SYPHILIS TEST AND I HAD ANOTHER SAMPLE TAKEN RECENTLY TO CONFIRM IF THAT TEST WAS (B)(6). IT ALSO CAME BACK (B)(6). I HAVE DONATED FOR YEARS AND HAVE NOT HAD A (B)(6) SYPHILIS TEST IN THE PAST, BUT I DID RECENTLY HAVE THE THREE SHOT REGIMEN OF MODERNA'S COVID VACCINES. I LOOKED AT THE INTERNET AND FOUND THAT YOU HAVE RECENTLY SENT AN ADVISORY ABOUT A CROSS REACTION BETWEEN THE COVID VACCINE AND AN RPR SYPHILIS TEST: HTTPS://WWW.FDA.GOV/MEDICAL-DEVICES/LETTERS-HEALTH-CAREPROVIDERS/ POSSIBLE-FALSE-RPR-REACTIVITY-BIOPLEX-2200-SYPHILIS-TOTAL-RPR-TEST-KIT-FOLLOWING-COVID-19-VACCINE I BELIEVE THAT THIS MAY ALSO OCCUR WITH THE TEST USED ON MY BLOOD (SYPHILIS TREPONEMAL ANTIBODY TEST (MHA-TP) RUN BY CREATIVE TESTING SOLUTIONS, TEMPE, AZ). I WAS (B)(6) FOR THE CAPTIA SYPHILIS G EIA. I THOUGHT YOU SHOULD BE AWARE OF THIS ISSUE AND MAY WANT TO INVESTIGATE. BLOOD DONOR ORGANIZATIONS MAY BE TURNING AWAY ACCEPTABLE DONORS DUE TO CROSS REACTIVITY IN THE SYPHILIS TESTS. IF YOU WOULD LIKE MORE INFORMATION OR WOULD LIKE TO DISCUSS THIS MORE, FEEL FREE TO CONTACT ME. ALL THE BEST, (B)(6). FDA SAFETY REPORT ID #:(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1452402 SYPHILIS TREPONEMAL ANTIBODY TEST (MHA-TP) TEST, DONOR, SYPHILIS, ANTIGENS, TREPONEMAL MYR UNK

Patients

Seq Age Sex Outcome Treatment
1 63 YR Male