FDA Adverse Event
Injury
Summary report: N
DENTAL AMALGAM
MDR report key: 3829826
·
Received May 19, 2014
Report
- Report Number
- MW5036187
- Event Type
- Injury
- Date Received
- May 19, 2014
- Date of Event
- May 15, 2014
- Report Date
- May 16, 2014
- Product Code
- EJJ
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MI, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
DENTAL AMALGAM IS EFFECTING MY NERVOUS SYSTEM BY CAUSING MY SENSORY NERVES TO BE STIMULATED CREATING FEELINGS LIKE NEUROPATHY AND NERVE CONDUCTION. IT IS ALSO CAUSING MY MOTOR NEURONS TO BE STIMULATED MAKING MY MUSCLES TWITCH AND PULSATE TO VARIOUS DEGREES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 295638 | DENTAL AMALGAM | NONE | EJJ |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 38 YR | Other| S |