BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AMALGAM FILLINGS

    MDR report key: 1685980 · Received May 7, 2010

    Report

    Report Number
    MW5015886
    Event Type
    Injury
    Date Received
    May 7, 2010
    Date of Event
    February 5, 2005
    Report Date
    May 7, 2010
    Product Code
    EJJ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    ME, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I HAD THE "SILVER" COLORED MERCURY FILLINGS TAKEN OUT OF MY BODY BY A REGULAR DENTIST. THIS OF COURSE ALLOWED THE VAPORS FROM THE MERCURY FILLINGS TO GO INTO MY BODY AND DESTROY PARTS OF IT. I HAVE FATIGUE, TROUBLE WITH VISION AND TROUBLE WITH MAINTAINING CONCENTRATION FROM THIS DENTAL PROCEDURE. I WAS HEALTHY BEFORE THIS OFFICE VISIT. DATES OF USE: (B) (6) 1989 - (B) (6) 2008.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AMALGAM FILLINGS AMALGAM FILLINGS EJJ

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Required Intervention