In a nutshell, EAV is optimized for getting data in, not getting data out. But that might be an acceptable trade-off. I managed a project that had to develop a general clinical trial data management system. There could not be many common data elements because each trial needs to collect different data. Capturing data was urgent; we had to develop data entry pages under pressure. Reports are harder with EAV, but they're also less urgent, and with some clever thought they can be simplified a bit. EAV has served us well.
