BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MERCURY AMALGAM, DENTAL ZINC

    MDR report key: 6364185 · Received February 25, 2017

    Report

    Report Number
    MW5068177
    Event Type
    Injury
    Date Received
    February 25, 2017
    Manufacturer
    UNK
    Product Code
    ELY
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    A DENTIST IN (B)(6) PUT A CROWN ON TOP OF DENTAL ZINC AND MERCURY AMALGAM AND THEN I STARTED USING A CELL PHONE THAT WOULD HEAT UP MY HEAD AND JAWS. INFLAMMATION OCCURRED IN MY BRAIN WITH HEADACHES AND PANIC ATTACKS AND HYPERTHYROIDISM WHEN INFLAMMATION SUBSIDED AFTER ALL OFF OF CELL PHONE FOR 3 WEEKS, MY WHOLE BRAIN AND JAWS WERE METALLICALLY BURNED. IS THE PRODUCT COMPOUNDED: NO, AMALGAM IS. IS THE PRODUCT OVER-THE-COUNTER: NO. HOW WAS IS TAKEN OR USED: UPPER LEFT #3 TOOTH AND ALL THE OTHER TEETH THAT HAD MOLARS, AMALGAM IN THEM. DATE THE PERSON FIRST STARTED TAKING OR USING THE PRODUCT: 1965 - 1996. DATE THE PERSON STOPPED TAKING OR USING THE PRODUCT: 2004. THE PERSON USING THE PRODUCT SUPPOSED TO TREAT: TOOTH FILLINGS. DID THE PROBLEM STOP AFTER THE PERSON REDUCED THE DOSE OR STOPPED TAKING OR USING THE PRODUCT: NO. DID THE PROBLEM RETURN IF THE PERSON STARTED TAKING OR USING THE PRODUCT AGAIN: DIDN'T RESTART. DO YOU STILL HAVE THE PRODUCT IN CASE WE NEED TO EVALUATE IT: YES. DR. (B)(6), MAY HAVE NOTES ON IT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    141689 MERCURY AMALGAM, DENTAL ZINC MERCURY AMALGAM, DENTAL ZINC ELY UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| L| O| R| S