FDA Adverse Event Malfunction Summary report: N

FLOWFLEX COVID 19 ANTIGEN HOME TEST

MDR report key: 16067458 · Received December 27, 2022

Report

Report Number
MW5114037
Event Type
Malfunction
Date Received
December 27, 2022
Date of Event
December 19, 2022
Report Date
December 23, 2022
Manufacturer
ACON LABORATORIES, INC.
Product Code
QKP
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
NY, US
Reporter Occupation
PATIENT
Health Professional
*

Narratives

Description of Event or Problem · 0

I TOOK 3 FLOW FLEX COVID ANTIGEN TESTS IN THE WHITE BOX. ALL TESTED FAINTLY POSITIVE. SUBSEQUENTLY I HAD A PCR(POLYMERASE CHAIN REACTION) AND 3 NEGATIVE RAPID TESTS AT A NYC TESTING CENTER. NO SYMPTOMS AND DO NOT HAVE COVID. PLANNED TO VISIT ELDERLY MOTHER SO TESTED AS A PRECAUTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
453167 FLOWFLEX COVID 19 ANTIGEN HOME TEST CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM QKP ACON LABORATORIES, INC. COV1120113
453168 FLOWFLEX COVID 19 ANTIGEN HOME TEST CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM QKP ACON LABORATORIES, INC. COV1120113
453169 FLOWFLEX COVID 19 ANTIGEN HOME TEST CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM QKP ACON LABORATORIES, INC. COV1120113

Patients

Seq Age Sex Outcome Treatment
1 74 YR Female LIVALO| VERAPAMIL