BEUDAMED
    FDA Adverse Event Death Summary report: N

    AMALGAM

    MDR report key: 8658062 · Received May 30, 2019

    Report

    Report Number
    MW5087018
    Event Type
    Death
    Date Received
    May 30, 2019
    Report Date
    May 29, 2019
    Manufacturer
    UNK
    Product Code
    OIV
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WI, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    MY BROTHER DIED FROM MERCURY AMALGAM POISONING. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    449785 AMALGAM DENTAL AMALGAM OIV UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 Death| S