‘CONFIDENTIAL’ Suspected adverse event e-reporting

Report all suspected adverse drug reactions (ADR) on all drugs, vaccines, herbal products, medical devices and other health products. You don't need to be certain. You just need to have a suspicion. Please report even if you do not have all the details.

 * = Mandatory field, = Help text for a field

Email *
Language *
Reporter *
Type the characters exactly as in the image *