BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 1001435 · Received February 20, 2008

    Report

    Report Number
    MW5005605
    Event Type
    Injury
    Date Received
    February 20, 2008
    Date of Event
    January 1, 1971
    Report Date
    February 8, 2008
    Manufacturer
    UNK
    Product Code
    EJJ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I HAVE MERCURY POISONING FROM DENTAL AMALGAM FILLINGS (3) WHICH WERE PLACE IN MY MOUTH IN 1971. CURRENTLY, AM REVIEWING BEST PRODUCTS FOR: REMOVING FILLINGS A TEETH CONTAINING THE FILLINGS. REMOVING THE ACCUMULATED MERCURY FROM MY BODY. DATES OF USE AMALGAM FILLINGS IN PLACE SINCE 1971. DIAGNOSIS OR REASON FOR USE, 3 CAVITIES/CARIES/DENTAL DECAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK MERCURY DENTAL AMALGAM EJJ UNK NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 16 YR Life Threatening| O| R| S