BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AMALGAM

    MDR report key: 8675409 · Received June 5, 2019

    Report

    Report Number
    MW5087176
    Event Type
    Injury
    Date Received
    June 5, 2019
    Date of Event
    August 1, 1998
    Report Date
    June 1, 2019
    Manufacturer
    UNK
    Product Code
    EKH
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I WAS POISONED MY AMALGAMS. I WOULD SEND MY STORY IF YOU LIKE. I WAS POISONED FROM MY SILVER FILLINGS, PLEASE CALL ME IF THERE IS ANYTHING I CAN STOP THE USE OF THE FILLING, (B)(6). I HAD OFF CHARTS MERCURY POISONING. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    462866 AMALGAM CARVER DENTAL AMALGAM EKH UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 33 YR Hospitalization| L| O| R| S