38
CPSC NEISS Data 2005–2024

Pens And Pencils

Twenty years of CPSC NEISS emergency-room records for this consumer product category, combined with demographic breakdowns, multi-year injury trends, and matching recall notices.

Personal Care & Safety Products · CPSC Code 1685

Down 19% over 5 years

The verdict

Pens And Pencils carry a danger score of 38/100 (low risk), driven by roughly 18,856 ER-treated injuries a year that are declining by about 19% over the last five years.

38/100
danger score (low risk)
18,856
ER visits per year (avg)
4.9%
end in hospital admission
5-14
most-injured age group

Every figure is rendered from the CPSC NEISS record for product code 1685 - last data year 2024.

PlainSafety danger score

0/100100/10038/100
PlainSafety danger score

Source: CPSC NEISS danger-score model As of 2024

How this 38/100 score is built

The score is computed from four CPSC-derived factors for pens and pencils - no opinion, no editorializing:

  • Injury volume18,856 ER visits/yr
  • Severity (hospitalization rate)4.9%
  • Fatality rate0.00%
  • 5-year trend-19%

See the full methodology for the exact weighting of each factor.

What the CPSC Data Shows

Pens And Pencils (CPSC product code 1685, in the Personal Care & Safety Products category) generate an estimated 18,856 emergency-room visits every year in the United States, adding up to roughly 377,124 ER-treated injuries across the 20-year span from 2005 to 2024. PlainSafety derives a danger score of 38/100 for this category (low risk), combining raw injury volume, demographic reach, severity of outcome, and multi-year trend. The five-year trajectory shows that injury counts are declining by about 19% over the last five years, with the busiest year on record being 2006 (26,488 estimated ER visits) and the quietest 2020 (10,261 estimated visits).

The single most common ER diagnosis for pens and pencils is foreign body to the ear, accounting for approximately 41,919 visits across the 20-year NEISS window, followed by contusions, abr. to the eyeball (37,638 cases). The 5-14 age group absorbs the largest share of injuries, about 213,049 cases over the NEISS window, and males appear slightly more often than the opposite sex in that cohort. Severity outcomes from the NEISS disposition field show that 4.9% of ER visits involving this product end in hospital admission or transfer.

Beyond the hospital-sampled NEISS projections, this page also aggregates 10 consumer incident reports filed directly on SaferProducts.gov, plus 20 anonymized ER narratives - together forming a layered picture of how pens and pencils fail in real households. Every figure on this page comes from CPSC-published data: NEISS projects national estimates from a probability sample of about 100 U.S. hospital emergency departments, while SaferProducts.gov collects voluntary reports from consumers, manufacturers, and clinicians. The danger score, trend indicators, and demographic breakdowns update automatically when CPSC releases a new yearly NEISS file, which is why this page is dated 2024-12-31. For regulatory context, consult CPSC recall notices and the SaferProducts.gov public database linked below.

18,856
Injuries / Year
4.9%
Hospitalization Rate
0.00%
Fatality Rate

Annual Injury Estimates (2005–2024)

5K10K15K20K25K30K 20052008201120142017202020232024 18K
Estimated annual emergency-room visits for Pens And Pencils, CPSC NEISS

Source: CPSC NEISS national injury estimates As of 2024

Source: CPSC NEISS national estimates CPSC NEISS national estimates Injuries represent ER-treated cases only

Who Gets Injured?

Age Group Male Female Total
0-4 36,302 31,640 67,942
5-14 128,721 84,328 213,049
15-24 22,808 17,515 40,374
25-34 9,023 8,747 17,938
35-44 7,054 6,728 13,837
45-54 4,525 4,445 8,970
55-64 3,620 2,504 6,124
65-74 2,152 1,653 3,861
75+ 1,918 3,106 5,024

Most Common Injuries

Body Part Diagnosis Est. Injuries
Ear Foreign Body 41,919
Eyeball Contusions, Abr. 37,638
Internal Ingestion 26,964
Hand Puncture 15,164
Face Foreign Body 13,079
Finger Foreign Body 10,751
Eyeball Other 10,395
Hand Foreign Body 10,020
Mouth Laceration 9,513
Face Laceration 9,284
Foot Puncture 8,798
Foot Foreign Body 8,332
Mouth Puncture 7,185
Face Puncture 6,413
Finger Laceration 6,040

Severity Breakdown

Treated/examined And Released 93.4% (352,446)
Treated And Admitted/hospitalized 3.0% (11,379)
Left Without Being Seen 1.6% (6,132)
Treated And Transferred 1.5% (5,770)
Held For Observation 0.4% (1,451)
Unknown, Not Stated 0.0% (16)

ER Visit Narratives

Real anonymized emergency room reports from the CPSC NEISS database.

Age 8 · Male · Eyeball · Contusions, Abr. · 2024

8YOM C/O LEFT EYE PAIN, WAS AT SCHOOL AND POKED HIMSELF IN THE EYE WITH A PENCIL. DX: CORNEAL ABRASION , SUPERFICIAL INJURY OF EYE

Age 29 · Male · Internal · Ingestion · 2024

29 YOM WAS REFUSED AT BOOKING AFTER HE VERBALIZED SWALLOWING A PENCIL, LOOSE AND BAGGED DRUGS. NO UDS. DX: SWALLOWED FOREIGN BODY.

Age 35 · Female · Face · Laceration · 2024

35 YOF FELL ON PENCIL IN AJIL DX; FACE LAC

Age 45 · Male · Pubic Region · Foreign Body · 2024

45YOM FROM THE JAIL STATES THAT HE WAS HAVING TROUBLE URINATING SO HE INSERTED TWO PIECES OF A PEN INTO HIS URETHRA IN AN ATTEMPT TO HELP HIM URINATE NOW HAS SEVERE PAIN DX: FOREIGN BODY IN URETHRA

Age 66 · Unknown · Pubic Region · Foreign Body · 2024

66YO *** *** *** REPORTS A HALF OF A #2 WOODEN PENCIL INSIDE THE URETHRA DX: FOREIGN BODY IN URETHRA

Age 29 · Male · Lower Trunk · Strain, Sprain · 2024

29YOM PATIENT WAS BENTING OVER TO PICK UP A PEN OFF THE FLOOR, AND DEVELOPED LEFT SIDED HIP PAIN, SHE DIDN'T FELL TO THE FLOOR DX: LEFT HIP SPRAIN

Age 10 · Male · Ear · Foreign Body · 2024

10 YOM PUT A MECHANICAL PENCIL IN HIS EAR AND SOME OF THE PENCIL LED IS STUCK. DX: FOREIGN BODY RIGHT EAR, TYMPANIC MEMBRANE CENTRAL PERFORATION RIGHT

Age 12 · Male · Ear · Foreign Body · 2024

12YOM WITH FB IN EAR. PT TRIED TO USE PENCIL TO TAKE OUT EAR WAX AND PIECE OF THE PENCIL WAS STUCK IN EAR DX: FB OF LEFT EAR

Age 7 · Male · Face · Contusions, Abr. · 2024

7YOM WAS AT SCHOOL WHEN HE STUCK A PENCIL UP HIS RIGHT NOSTRIL AND NOW IT'S BLEEDING DX: NASAL ABRASION

Age 11 · Male · Wrist · Contusions, Abr. · 2024

11YOM SUSTAINED MULTIPLE SELF-INFLICTED ABRASIONS TO LEFT WRIST WITH A PENCIL STATES HE WANTS TO DIE AND GO TO HEAVEN WITH HIS GRANDPA DX: SUPERFICIAL ABRASIONS, BEHAVIOR PROBLEM IN A PEDIATRIC PATIENT

Age 9 · Female · Hand · Foreign Body · 2024

9YOF WAS GETTING INTO A CAR AND WAS HOLDING A WOODEN PENCIL, THE CAR DOOR SLAMMED ONTO HER HAND AND THE PIECE OF PENCIL WENT INTO HER RIGHT HAND DX: FOREIGN BODY HAND

Age 7 · Male · Mouth · Puncture · 2024

7YOM, TRIPPED AND FELL WHILE RUNNING WITH A PENCIL IN HIS MOUSE CAUSING THE PENCIL TO PIERCE IN THE BACK OF HIS MOUTH, DX: INJURY OF MOUTH; PUNCTURE WOUND OF ORAL CAVITY

Consumer Incident Reports

Reports filed by consumers on SaferProducts.gov.

8/4/2020 · Injury, First Aid Received by Non-Medical Professional · Cameron Frank Products LLC · District of Columbia

To whom it may concern, My wife purchased your 8-pack Washable Dot Markers listed on the Amazon website on July 18 2019. We have never used the product until August 2, 2020. Your Product: https://www.amazon.com/gp/product/B01ADUE85O/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1 Our daughter was coloring w/ the blue marker and it got on her hands and she wiped her face. The marker caused chemical burns on her face. It is unacceptable that your products are marketed as safe and non-toxic.

7/16/2012 · Incident, No Injury · JINOHO INTERNATIONAL CO LTD · California

I purchased and hello kitty pen pencil, paper kind of like a little school kit for my 5 yr old upon opening the box and the small packages inside there was one labeled pen. To shock it was not a pen but a long razor blade I tried to reach someone at the website posted on the box www.hellokitty.co.kr but it says it is under construction. I thank god I was the one who opened what appears to be a pink pen with hello kitty on the front and not my toddler who could have caused serious injuries to herself.

5/6/2011 · Injury, No First Aid or Medical Attention Received · BINNEY & SMITH, INC. · Washington

We purchased our son the Crayola Glow Explosion paper and marker set. When we started coloring, we noticed the markers had a funny/bad smell to them. Since the box said it was non-toxic and it was from a trusted company like Crayola, we figured the smell would dissipate over time. We hung our artwork (2 of the full size glow sheets) in his room around 9pm before bed. The next morning, approx 9am, I opened his door to go in, and realized the smell had completely consumed his large bedroom. My son complained of a stuffy nose and dry/scratchy throat. I immediately threw the paper away, and within about an hour of being in the living room, his nose and throat cleared up. I have been afraid to let him try it again.

5/22/2012 · Injury, No First Aid or Medical Attention Received · DIXON TICONDAROGA COMPANY · Oregon

The consumer stated that he heard his 3 years old granddaughter choking and when he went to check on her, she coughed the metal portion that holds the eraser. The consumer stated that the pencils eraser was approximately ¾ of an inch and the pencil was double the size of the normal pencil width. This particular product is identified specifically for children! The consumer stated that he did not need to do anything to assist his granddaughter she had coughed the piece on her own. The consumer stated that four pencils came in the pack that he purchased and all of the eraser’s metal holders were loose. The consumer stated that he email the manufacturer and was awaiting a response. The consumer believes that this product should be investigated since it poses a choking hazard to children and anyone who puts pencils in their mouth.

4/11/2021 · Injury, Emergency Department Treatment Received · LUCKY SHOT USA LLC · United States

Lucky Shot .308 Retractable Twist Pen was in patient pocket and exploded causing laceration and shrapnel injury. It is a pen made from a bullet. bought at academy sports, Product was in pocket and not in use at the time. Likely had left over gun powder and static electricity set off explosion is my guess.

3/29/2016 · Injury, Emergency Department Treatment Received · CALICO BRANDS, INC. · Virginia

My son had a pen and was drawing. He put the top part of the pen in his mouth, like many adults even do, and must have bit down inside the hollowed clip part where the plastic SCRIPTO logo was located. It had a little give to it so it ended up bouncing back and trapping part of his top lip inside the clip of the pen. He was bleeding and screaming. We called the ambulance whose paramedics would not take the pen off themselves but wanted to drive us to the ER where the doctors could figure out how to remove the pen from his lip. It took three doctors to pry the pen off of his lip. I contacted Scripto with this information. They seemed helpful at first and asked me to send along pictures and the pen itself since I had brought it home with me after it was removed from my son's lip. After I sent it, I waited to hear back. More than six months later with numerous unanswered/hang up phone calls to their person, [REDACTED], who handles these situations, I finally go ahold of him through Scripto. He told me he was not responsible for this, that he was sorry about my son, but that he couldn't help anymore, and that we would have to agree to disagree. I told him that I would have likes the respect for him to at least call me back and let me know this information since it had been more than six months. He said he was busy and had a lot to do. While Scripto itself is not making pens anymore, I just saw a University that had pens out at their booth in February 2016 with the same type of clip. If pen companies don't know about this clip, then they won't know about the dangers. They will continue making them, and more people could potentially get hurt.

2/4/2014 · No Incident, No Injury · Jac Zagoory Designs, Ltd · District of Columbia

A relative made me aware of what looks like a VERY hazardous product being sold on Amazon.com -- a pure lead pencil, at http://www.amazon.com/Jac-Zagoory-Beta-Inkless-Pen/dp/B005GLYHLG.

11/16/2018 · Injury, No First Aid or Medical Attention Received · WeVeel · Florida

The consumer indicates that her and her daughter were using the marker for approximately four to five minutes when her daughter said she could not use them anymore because she was feeling dizzy and nauseous, and her eyes were watery. When the consumer stood up, she felt the same way. The consumer’s husband had to take their daughter to the restroom as she could no longer walk; the consumer’s daughter vomited. The consumer’s symptoms subsided after forty-five minutes whereas her daughter began to feel better after two hours. The consumer’s husband placed the marker in a sealed bag. The consumer notes that although her and her daughter had some marker ink on their hands, they did not have any allergic reaction to it, at least not visibly. The consumer contacted Poison Control and explained the situation; the representative she spoke to advised her or a family member to contact 911 immediately for an ambulance if her or her daughter became unconscious. The consumer contacted the Manufacturer and explained the situation; the representative she spoke to informed her that they have never had a reported problem with the marker but that a Manager would be contacting her. The consumer has yet to hear from a Manager. The consumer went to the retailer and explained the situation; the Manager informed her that she would be speaking to her Supervisor in the hopes of placing a warning on the unit as it does not have any warnings at all. The consumer states that the unit was only used one time for four to five minutes. The consumer plans on keeping the marker for at least the next thirty days in case an investigation ensues.

Showing 8 of 10 reports.

Product Recalls

Search for active and past recalls related to pens and pencils on the CPSC website.

Frequently Asked Questions

How dangerous are pens and pencils?

Based on 20 years of CPSC data, pens and pencils have a danger score of 38/100 (low risk). An estimated 18,856 ER-treated injuries occur annually in the U.S. related to this product category.

What are the most common injuries from pens and pencils?

The most common injury is foreign body to the ear, accounting for approximately 41,919 injuries over 20 years.

Are injuries from pens and pencils increasing or decreasing?

Down 19% over 5 years.

Who is most at risk for pens and pencils injuries?

The 5-14 age group accounts for the most injuries, with approximately 213,049 cases recorded over 20 years. Males are more frequently injured in this age group.

What happens when someone is injured by pens and pencils?

Of all ER visits involving pens and pencils, approximately 4.9% result in hospital admission. The majority of patients (95.1%) are treated and released from the emergency department.

How can I report a safety problem with pens and pencils?

You can file a consumer incident report at SaferProducts.gov, the official CPSC reporting portal. Reports help the CPSC identify emerging hazards and trigger investigations or recalls. You can also call the CPSC hotline at 1-800-638-2772.

Safety Guides

What this means for you

Treat the 38/100 score as relative risk between products, not your personal odds of injury.

  • See where this category ranks against every other tracked product. Full rankings
  • Injuries cluster in the 5-14 age group, take extra care if that describes your household.
  • Check for active recalls on this product before you assume it is safe. CPSC recalls

NEISS estimates ER-treated injuries from a national probability sample of hospitals; they do not capture injuries treated elsewhere or not treated at all.

Data: CPSC National Electronic Injury Surveillance System (NEISS) 2005–2024 and SaferProducts.gov consumer incident reports. Injury estimates are based on a nationally representative probability sample of U.S. hospital emergency departments. This page is for informational purposes only and is not affiliated with the CPSC.