WALGREENS EARLY RESULT ANALOG PREGNANCY TEST

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-03-29 for WALGREENS EARLY RESULT ANALOG PREGNANCY TEST manufactured by Unknown.

Event Text Entries

[140774947] I took the (b)(6) early result analog pregnancy test on two separate occasions and was shocked to see one faint and one dark line. Per the instructions contained in the test box, this indicates a positive test result. After contacting my doctor and confirming that i am not pregnant, i looked at the reviews on the (b)(6) website. This appears to be a chronic problem and users have experienced a positive test result when testing with water. (b)(6).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5085481
MDR Report Key8471301
Date Received2019-03-29
Date of Report2019-03-27
Date of Event2019-03-25
Date Added to Maude2019-04-01
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 1

Brand NameWALGREENS EARLY RESULT ANALOG PREGNANCY TEST
Generic NameKIT, TEST, PREGNANCY, HCG, OVER THE COUNTER
Product CodeLCX
Date Received2019-03-29
Lot Number1902254
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNKNOWN

Device Sequence Number: 2

Brand NameWALGREENS EARLY RESULT ANALOG PREGNANCY TEST
Generic NameKIT, TEST, PREGNANCY, HCG, OVER THE COUNTER
Product CodeLCX
Date Received2019-03-29
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerUNKNOWN


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-03-29

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