BEUDAMED
    FDA Adverse Event Injury Summary report: N

    POLIGRIP

    MDR report key: 1649717 · Received March 30, 2010

    Report

    Report Number
    MW5015353
    Event Type
    Injury
    Date Received
    March 30, 2010
    Date of Event
    January 15, 2010
    Report Date
    March 22, 2010
    Manufacturer
    GLAXOSMITHKLINE
    Product Code
    KOQ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I USED FIXODENT AND POLIGRIP FROM (B) (6) 2007 UNTIL (B) (6) 2010. I BEGAN EXPERIENCING NUMBNESS AND TINGLING IN MY EXTREMITIES. I RECEIVED MY BLOOD WORK RESULTS ON (B) (6) 2010 AND FOUND OUT MY ZINC LEVEL WAS 218, COPPER WAS NORMAL AT 96. MY DOCTOR WANTS TO FOLLOW UP WITH BLOOD TEST AND NEUROPATHY TREATMENT. DOSE OR AMOUNT: DENTURE CREAM, FREQUENCY: ONCE DAILY, ROUTE: ORAL. DATES OF USE: (B) (6) 2007 - (B) (6) 2010. DIAGNOSIS OR REASON FOR USE: DENTURE ADHESIVE CREAM. EVENT ABATED AFTER USE STOPPED: NO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 POLIGRIP NONE KOQ GLAXOSMITHKLINE UNK
    2 FIXODENT NONE KOL PROCTER & GAMBLE

    Patients

    Seq Age Sex Outcome Treatment
    1 63 YR Other| S