BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MERCURY DENTAL FILLINGS

    MDR report key: 748699 · Received August 16, 2005

    Report

    Report Number
    MW1036344
    Event Type
    Injury
    Date Received
    August 16, 2005
    Report Date
    June 8, 2005
    Manufacturer
    *
    Product Code
    EJJ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    DISABILITATING FATIGUE FROM THERAPEUTIC FAILURES, SUSPECTED CONTAMINATION, AND MEDICATION/MATERIALS ERRORS. SURFACING AS EARLY AS 1985, WITH MOST OCCURRING FROM 1993/4 TO PRESENT. IN 1993 A ROOT CANAL (3RD) WAS DONE USING SILVER MERC AND STEEL POSTS NEXT TO GOLD CROWNS ABOVE AND ON ONE SIDE. FATIGUE WAS SO EXTREME, SLEPT 10-12 HRS AT NIGHT AND COULD NOT FUNCTION THRU THE DAY. DID NOT UNDERSTAND AT THAT TIME THE CAUSE. WAS FORCED TO TAKE P/T MENIAL JOB. HAVE NEVER BEEN ABLE TO RETURN TO FULL-TIME WORK. REPLACEMENT OF OLD FILLINGS 1994 ONWARD WITH SILVER/MERCURYAMALGAM CONTINUED TO WORSEN HEALTH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MERCURY DENTAL FILLINGS * EJJ * * *

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR Disability