FDA Adverse Event
Injury
Summary report: N
DENTAL AMALGAM MERCURY
MDR report key: 1685981
·
Received May 7, 2010
Report
- Report Number
- MW5015887
- Event Type
- Injury
- Date Received
- May 7, 2010
- Date of Event
- November 5, 1995
- Report Date
- May 7, 2010
- Product Code
- EJJ
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MN, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
LOST BALANCE, FELL TO GROUND AND COULD NOT REGAIN ABILITY TO WALK FOR SEVERAL HOURS. DIAGNOSED WITH MS BY WORLD RENOWN CLINIC IN (B) (6); AND (B) (6) INSTITUTE OF NEUROLOGY - 3 NEUROLOGISTS. REMOVAL OF ALL TOXIC DENTAL FILLINGS IN (B) (6)-(B) (6) 1995: PARALYSIS OF HANDS CURED, BALANCE AND PROPRIOCEPTION RETURNED ENOUGH TO GET OUT OF DEATHBED: I HAD WRITTEN MY LAST WILL, SIX YEARS WOULD ELAPSE BEFORE I KNEW OF CHELATION-DMPS, DMSA- WHICH I UNDERWENT 2002-2003 AND FULLY RECOVERED. DIAGNOSIS OR REASON FOR USE: OUTDATED AND UNTESTED DENTAL FILLING MATERIAL, AN ADA.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | DENTAL AMALGAM MERCURY | HG AMALGAM FILLING LABELED AS "SILVER" | EJJ |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 42 YR | Hospitalization| L| R |