FDA Adverse Event
Injury
Summary report: N
DENTAL AMALGAM
MDR report key: 11562524
·
Received March 23, 2021
Report
- Report Number
- MW5100227
- Event Type
- Injury
- Date Received
- March 23, 2021
- Date of Event
- September 28, 2015
- Report Date
- March 21, 2021
- Manufacturer
- UNK
- Product Code
- EFD
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- KY, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
I HAD A CAVITY FILLED AND INCIDENTALLY THE DENTIST HAD TO REMOVE AN AMALGAM FILLING THAT WAS THERE TO PUT IN A LARGER COMPOSITE FILLING. I HAD A MIGRAINE FOR 9 DAYS AFTER THIS AND SUBSEQUENTLY WAS DIAGNOSED WITH MYASTHENIA GRAVIS AFTER EXPERIENCING A DROOPY EYELID SOON AFTER THE PROCEDURE. I BELIEVE MERCURY EXPOSURE FROM THE DENTAL AMALGAM REMOVAL TRIGGERED MYASTHENIA GRAVIS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 445541 | DENTAL AMALGAM | DENTAL AMALGAM | EFD | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 38 YR | Disability |