FDA Adverse Event
Malfunction
Summary report: N
FASTEP COVID-19 ANTIGEN HOME TEST, (SELF-TEST)
MDR report key: 18777578
·
Received February 23, 2024
Report
- Report Number
- MW5151910
- Event Type
- Malfunction
- Date Received
- February 23, 2024
- Date of Event
- February 12, 2024
- Report Date
- February 12, 2024
- Manufacturer
- AZURE BIOTECH, INC
- Product Code
- QKP
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CO, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
I TRIED USING 3 DIFFERENT CASSETTES FROM THE FASTEP COVID-19 ANTIGEN HOME TEST. LOT NUMBER IS I2212113. EXPIRATION DATE IS 12-12-2024. I ORDERED THESE FROM AMAZON, AND HAVE USED THIS BRAND BEFORE. I OBTAINED MY NASAL SWAB AS USUAL AND MIXED WITH THE TEST MEDIUM. I PUT THE INSTRUCTED 3 DROPS INTO THE SPECIMEN WINDOW, AS PER INSTRUCTIONS. AFTER 15+ MINUTES THE LIQUID HAD FAILED TO DISPERSE ACROSS THE TAKE, SO I HAD NO RESULT. THE CONTROL T LINE ALSO WAS NOT REACHED. THEREFORE, I GOT NO RESULT. I HAVE USED THIS BRAND BEFORE, BUT THIS LOT YIELDED NO RESULT AT ALL. I WAS TESTING MYSELF FOR COVID. I AM A FULLY-LICENSED PHYSICIAN, BOARD-CERTIFIED IN INTERNAL MEDICINE AND 2 OTHER SPECIALTIES. REFERENCE REPORTS: MW5151909, MW5151911.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1565555 | FASTEP COVID-19 ANTIGEN HOME TEST, (SELF-TEST) | CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM | QKP | AZURE BIOTECH, INC | I12212113 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 77 YR | Female |