FDA Adverse Event Injury Summary report: N

CLINITEST RAPID COVID 19 ANTIGEN SELF TEST

MDR report key: 19712529 · Received July 9, 2024

Report

Report Number
MW5157134
Event Type
Injury
Date Received
July 9, 2024
Date of Event
July 1, 2024
Report Date
July 9, 2024
Manufacturer
HEALGEN SCIENTIFIC LLC
Product Code
QKP
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
MN, US
Reporter Occupation
003
Health Professional
N

Narratives

Description of Event or Problem · 0

CALLER STATED THAT SHE PURCHASED THE CLINITEST RAPID COVID-19 ANTIGEN SELF TEST AND FOUND SOME OF THE BUFFER HAS ONLY A DROP OF THE SOLUTION IN THE VIAL. SHE HAS A TOTAL OF FOUR VIALS AND ALL VIALS ARE FAULTY. SHE TRIED CONTACTING THE MANUFACTURER BUT NONE OF THEIR ONLINE CONTACTS IS WORKING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2348192 CLINITEST RAPID COVID 19 ANTIGEN SELF TEST CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM QKP HEALGEN SCIENTIFIC LLC

Patients

Seq Age Sex Outcome Treatment
1 53 YR Female Required Intervention