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 DIAGNOSIS OR REASON FOR USE: OUTDATED AND UNTESTED DENTAL FILLING MATERIAL, AN ADA.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