FDA Adverse Event Malfunction Summary report: N

SOLANA SARS-COV-2 ASSAY (LYO MMX)

MDR report key: 16675828 · Received April 4, 2023

Report

Report Number
0002024674-2023-00841
Event Type
Malfunction
Date Received
April 4, 2023
Date of Event
March 11, 2023
Report Date
April 4, 2023
Manufacturer
QUIDEL CORPORATION
Product Code
QJR
PMA / PMN Number
EUA203087
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION CONCLUSION: THE M312 SOLANA SARS-COV-2 ASSAY LOT #220875 PERFORMED AS EXPECTED. CUSTOMER RESULTS COULD NOT BE DUPLICATED. ROOT CAUSE: UNABLE TO DETERMINE. SOURCE: PHONE.

Description of Event or Problem · 0

CUSTOMER REPORTING ALL PATIENTS SHOWING POSITIVE SARS RESULTS INCLUDING NEGATIVE CONTROL (20 PATIENT RESULTS TOTAL). CUSTOMER STATES THE RESULTS WERE NEGATIVE BY AN OTC RAPID ANTIGEN TEST.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
404577 SOLANA SARS-COV-2 ASSAY (LYO MMX) SOLANA SARS-COV-2 ASSAY (LYO MMX) QJR QUIDEL CORPORATION 220875

Patients

Seq Age Sex Outcome Treatment
1 Unknown