FDA Adverse Event Injury Summary report: N

ESSURE

MDR report key: 3875260 · Received June 16, 2014

Report

Report Number
MW5036608
Event Type
Injury
Date Received
June 16, 2014
Date of Event
October 6, 2006
Report Date
August 25, 2014
Manufacturer
BAYER
Product Code
HHS
Adverse Event
Yes
Report Source
Voluntary report
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

PELVIC PAIN, ACNE, JOINT AND MUSCLE PAIN, METALLIC TASTE IN MOUTH, PAINFUL INTERCOURSE, HEAVY PERIODS WITH CLOTS ( UTERINE ABLATION WAS DONE), PAINFUL PERIODS,FIBROMYALGIA, PLANTAR FASCIITIS REQUIRING 2 SURGERIES, HIVES, RASHES, VAGINAL ITCHING( NO DISCHARGE), BACK PAIN, FEVERS, WEIGHT DRAIN, FATIGUE, NAUSEA, DIZZINESS ,BLOATING,SWELLING IN EXTREMITIES , CHEST PALPITATIONS, DEPRESSION, ANXIETY, TREMORS, HAIR THINNING, MEMORY LOSS, LOW VITAMIN D, MOUTH SORES, INSOMNIA , HEART BURN, PANIC ATTACKS,MOOD SWINGS, CYSTS, BREAST PAIN AND CYSTS, NECK AND SPINE PAIN. C-REACTIVE PROTEIN ELEVATED 9-80. (B)(4).

Description of Event or Problem · 1

(B)(4). HYSTERECTOMY LAVH/ BS LEFT OOPHORECTOMY (B)(6) 2014. ADENOMYOSIS LEIOMYOMA LEFT FALLOPIAN TUBE SMALL FOCUS OF HEMORRHAGE AND ACUTE INFLAMMATION PARATUBAL CYST.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
352684 ESSURE HHS BAYER

Patients

Seq Age Sex Outcome Treatment
1 0.000 YR Hospitalization| O| S