VITAGENE DNA TEST

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-06 for VITAGENE DNA TEST manufactured by Vitagene.

Event Text Entries

[174500474] I have never reported to fda medwatch before. I actually have multiple genomics results that the fda may be interested in here: (b)(6) however, this is specifically about vitagene, where i was concerned about the number of supplements recommended (one of which i did have a mild adverse reaction to l-theanine, even with the assumption that i should test 1 new supplement at a time): (b)(6). Fda safety report id # (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5092056
MDR Report Key9558943
Date Received2020-01-06
Date of Report2020-01-03
Date of Event2019-07-11
Date Added to Maude2020-01-07
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 Report3

Device Details

Brand NameVITAGENE DNA TEST
Generic NameDNA GENETIC ANALYZER
Product CodePCA
Date Received2020-01-06
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerVITAGENE


Patients

Patient NumberTreatmentOutcomeDate
10 2020-01-06

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