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