BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ELECTRIC SHOCK THERAPY

    MDR report key: 33893 · Received July 3, 1996

    Report

    Report Number
    MW1009425
    Event Type
    Injury
    Date Received
    July 3, 1996
    Date of Event
    January 1, 1979
    Report Date
    March 27, 1996
    Manufacturer
    UNKNOWN
    Product Code
    GXC
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    RECEIVED ELECTRIC SHOCK THERAPY FROM A PSYCHIATRIST. TRIED TO COMMIT SUICIDE AFTERWARDS, LOST HER HUSBAND AND HER HOME. NOW HAS PERMANENT, IRREVOCABLE MEMORY LOSS OF EVENTS IN THE PAST, AND DIFFICULTY WITH SHORT TERM MEMORY. SHE HAS DEVELOPED SINCE THAT TIME A SEIZURE DISORDER WHICH HAS BEEN ATTRIBUTED TO SHOCK THERAPY. SHE COMPLAINS THAT SHE IS NOW AGORAPHOBIC, AND STILL SEVERELY DEPRESSED. SHE HAS LOST HER COLLEGE EDUCATION. SHE HAS LOST COORDINATION. SHE HAS BEEN UNABLE TO WORK SINCE THAT TIME, AND IS ON DISABILITY. EVENT DATE 1979 TO 6/1981.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ELECTRIC SHOCK THERAPY ELECTRIC SHOCK THERAPY GXC UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR Disability