FDA Adverse Event Malfunction Summary report: N

SOFIA2 FLU + SARS ANTIGEN FIA, NS SWAB

MDR report key: 19785371 · Received July 19, 2024

Report

Report Number
0002024674-2024-00290
Event Type
Malfunction
Date Received
July 19, 2024
Date of Event
June 20, 2024
Report Date
July 19, 2024
Manufacturer
QUIDELORTHO CORPORATION
Product Code
QMN
UDI-DI
30014613339229
PMA / PMN Number
EUA202751
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY:A REVIEW OF THE DHR FOUND THAT THE LOT MET ALL RELEASE CRITERIA. A REVIEW OF COMPLAINT HISTORY DID NOT IDENTIFY ANY ADVERSE TRENDS FOR THE REPORTED ISSUE FOR THIS LOT. ROOT CAUSE: UNABLE TO DETERMINE. SOURCE: PHONE.

Description of Event or Problem · 0

CUSTOMER REPORTING A PATIENT THAT TESTED FALSE POSITIVE FOR BOTH SARS AND FLU B. CONFIRMATION TESTING WAS PERFORMED FOR SARS AND CAME BACK NEGATIVE. CONFIRMATION TESTING WAS DONE FOR FLU AND CAME BACK POSITIVE BUT CUSTOMER DOES NOT FEEL THE CUSTOMER HAS FLU. REPORT 2 OF 2 (FLU B).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2032600 SOFIA2 FLU + SARS ANTIGEN FIA, NS SWAB SOFIA2 FLU + SARS ANTIGEN FIA, NS SWAB QMN QUIDELORTHO CORPORATION 709330 30014613339229

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown