FDA Adverse Event
Injury
Summary report: N
FLOWFLEX COVID-19 ANTIGEN HOME TEST
MDR report key: 16030072
·
Received December 21, 2022
Report
- Report Number
- 2531491-2022-00015
- Event Type
- Injury
- Date Received
- December 21, 2022
- Date of Event
- December 12, 2022
- Report Date
- December 21, 2022
- Manufacturer
- ACON LABORATORIES, INC.
- Product Code
- QKP
- PMA / PMN Number
- EUA210494
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
END USER REPORTED ALLERGIC REACTION WHEN USING THE TEST KIT PURCHASED FROM A MAJOR PHARMACY. THE HEALTH OF THE USER WAS UNKNOWN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1630631 | FLOWFLEX COVID-19 ANTIGEN HOME TEST | ANTIGEN DIAGNOSTIC FOR SARS-COV-2, PRODUCT CODE: QKP | QKP | ACON LABORATORIES, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Male | Other |