FDA Adverse Event
Injury
Summary report: N
FLOWFLEX COVID-19 ANTIGEN HOME TEST
MDR report key: 17975381
·
Received October 19, 2023
Report
- Report Number
- MW5147163
- Event Type
- Injury
- Date Received
- October 19, 2023
- Date of Event
- October 16, 2023
- Report Date
- October 16, 2023
- Manufacturer
- ACON LABORATORIES, INC.
- Product Code
- QKP
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Narratives
Description of Event or Problem · 0
DEFECTIVE ACON LABORATORIES, INC. FLOWFLEX COVID-19 ANTIGEN HOME TEST MADE IN CHINA L031329-01 LOT COV2010015 DISTRIBUTED BY HARRIS TEETER PHARMACY (B)(6) WITH MANUFACTURE DATE 2022-01-07 AND EXPIRATION DATE OF 2023-01-06 BUT APPROVED BY FDA FOR 1 YEAR EXTENSION OF EXPIRATION DATE. TEST KITS DO NOT EXHIBIT A CONTROL LINE AND THEREFORE ARE DEFECTIVE AND UNUSABLE THEREBY CREATING A LIFE/THREATENING CONDITION IF USED UNDER FDA APPROVED EXPIRATION DATE EXTENSION. IMMEDIATE RECALL REQUIRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1996123 | FLOWFLEX COVID-19 ANTIGEN HOME TEST | CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM | QKP | ACON LABORATORIES, INC. | COV2010015 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 68 YR | Unknown | Life Threatening |