Brand Name | PCR TEST |
Type of Device | REAGENTS, 2019-NOVEL CORONAVIRUS NUCLEIC ACID |
MDR Report Key | 15054325 |
MDR Text Key | 296215792 |
Report Number | MW5110935 |
Device Sequence Number | 1 |
Product Code |
QJR
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Patient
|
Type of Report
| Initial |
Report Date |
07/14/2022 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 07/18/2022 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
Yes
|
Was Device Available for Evaluation? |
No
|
Patient Sequence Number | 1 |
Treatment | A MULTIVITAMIN DAILY; VITAMIN D, C A FEW TIMES A WEEK |
Patient Age | 47 YR |
Patient Sex | Female |
Patient Weight | 63 KG |
Patient Ethnicity | Hispanic |
Patient Race | White |
|
|