BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    37004N (HAIR-5 EXPOSURE)

    MDR report key: 14357681 · Received May 10, 2022

    Report

    Report Number
    MW5109620
    Event Type
    Malfunction
    Date Received
    May 10, 2022
    Date of Event
    May 5, 2022
    Report Date
    May 6, 2022
    Manufacturer
    QUEST DIAGNOSTICS, INC
    Product Code
    DKZ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    PATIENT
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    TOOK A HAIR TEST VYVANSE SHOWED AS METHYLPHENIDATE. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    870950 37004N (HAIR-5 EXPOSURE) ENZYME IMMUNOASSAY, AMPHETAMINE DKZ QUEST DIAGNOSTICS, INC

    Patients

    Seq Age Sex Outcome Treatment
    1 42 YR Female Other VYVANSE, COMPANY: (B)(4).