BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 819312 · Received February 13, 2007

    Report

    Report Number
    MW1041919
    Event Type
    Injury
    Date Received
    February 13, 2007
    Date of Event
    January 1, 1989
    Report Date
    January 29, 2007
    Manufacturer
    *
    Product Code
    EJJ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CT, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    NINETEEN EIGHTY NINE - NINETY ONE - RECEIVED MANY MERCURY AMALGAM FILLINGS AT HEALTH CLINIC. HEALTH DECLINED - 1995 BRAIN SURGERY, 1996 - 2006 HAD 8 ABDOMINAL SURGERIES - 2 HEAD SURGERIES, PROBLEMS WITH BREATHING, SLEEPING, DIGESTION, CHRONIC FATIGUE, IBS, IC, IN 2006 HOSPITALIZED WITH SEVERE NEUROLOGIC PROBLEMS. FILLINGS (MERC) REMOVED IMPROPERLY 05/06 - GOT VERY, VERY, VERY SICK.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 36 YR Hospitalization| O| S