BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PANAVIA (RESIN)

    MDR report key: 1210974 · Received October 27, 2008

    Report

    Report Number
    MW5008760
    Event Type
    Injury
    Date Received
    October 27, 2008
    Date of Event
    September 23, 1993
    Report Date
    March 22, 1996
    Product Code
    EBF
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    AFTER CEMENTING CROWNS WITH A DENTAL RESIN CEMENT PANAVIA PATIENT SAID SHE HAS STOMACH IN AND BACK OF HEAD HAD 2 STRANGE FEELING (CIRCULAR) IN BACK OF HEAD. LEFT AXIAL LYMPH NODES, SWOLLEN, TINGLING DOWN LEFT ARM, HAND FELT HOT. NEEDLE AND PINS RIGHT AND LEFT HAND (REPEATED SEVERAL DAYS LATER). STOPPED UP AREA ABOVE TOOTH #12, PAIN "TO EXT".

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PANAVIA (RESIN) NONE EBF

    Patients

    Seq Age Sex Outcome Treatment
    1 Other