FDA Adverse Event
Malfunction
Summary report: N
FLOWFLEX SARS-COV-2 ANTIGEN RAPID TEST (SELF-TESTING)
MDR report key: 13862016
·
Received March 22, 2022
Report
- Report Number
- MW5108408
- Event Type
- Malfunction
- Date Received
- March 22, 2022
- Date of Event
- December 23, 2021
- Report Date
- March 21, 2022
- Manufacturer
- ACON BIOTECH / ACON LABORATORIES, INC.
- Product Code
- QKP
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
ON (B)(6) 2021 I BOUGHT 4 FLOWFLEX COVID-19 SINGLE TEST KITS FROM (B)(6). MY DAUGHTER TOOK ONE AND IT WAS NEGATIVE. I TOOK ANOTHER IN (B)(6) 2022 AND IT WAS NEGATIVE. IN (B)(6) I SAW THAT THESE (BLUE BOXES) HAD BEEN RECALLED. APPARENTLY THEY ARE COUNTERFEIT, ACCORDING TO ACON LABS WEBSITE? AS I READ THE RECALL, THE FDA WANTED ALL DISTRIBUTION OF THESE REPORTED. I AM HOPING THAT I CAN RETURN THE TWO I HAVE LEFT TO (B)(6) FOR A REFUND, BUT WILL WAIT IN CASE THE FDA WANTS THE TESTS AND THE RECEIPT. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 304409 | FLOWFLEX SARS-COV-2 ANTIGEN RAPID TEST (SELF-TESTING) | CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM | QKP | ACON BIOTECH / ACON LABORATORIES, INC. | COV1105014 | ||
| 304410 | FLOWFLEX SARS-COV-2 ANTIGEN RAPID TEST (SELF-TESTING) | CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM | QKP | ACON BIOTECH / ACON LABORATORIES, INC. | COV1105014 | ||
| 304411 | FLOWFLEX SARS-COV-2 ANTIGEN RAPID TEST (SELF-TESTING) | CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM | QKP | ACON BIOTECH / ACON LABORATORIES, INC. | COV1105014 | ||
| 304412 | FLOWFLEX SARS-COV-2 ANTIGEN RAPID TEST (SELF-TESTING) | CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM | QKP | ACON BIOTECH / ACON LABORATORIES, INC. | COV1105014 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Female |