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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: HOME RAPID ANTIGEN TEST; CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM

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HOME RAPID ANTIGEN TEST; CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM Back to Search Results
Device Problem Labelling, Instructions for Use or Training Problem (1318)
Patient Problem Meningitis (2389)
Event Date 02/22/2022
Event Type  Death  
Event Description
Lacking warnings and risks.The following notice is missing required risk of injury and death information as required by food drug cosmetics act, prep act, and 18 us code 241, 18 us code 242 and the united states constitution duty to protect: https://www.Fda.Gov/media/153922/download.There is no listing of deaths.One woman in (b)(6) was swabbed and died of meningitis 20 days later.The fda is out of compliance with the law.Fda safety report id # (b)(4).
 
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Brand Name
HOME RAPID ANTIGEN TEST
Type of Device
CORONAVIRUS ANTIGEN DETECTION TEST SYSTEM
MDR Report Key13599679
MDR Text Key286343160
Report NumberMW5107695
Device Sequence Number1
Product Code QKP
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Unknown
Type of Report Initial
Report Date 02/22/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/24/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Was Device Available for Evaluation? No
Patient Sequence Number1
Patient Outcome(s) Death; Other;
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