Report a Side Effect or Product Concern

Patient safety comes first. Any healthcare professional, patient or caregiver can report a suspected side effect, a quality problem or a medication error related to the products we represent.

In a medical emergency, contact your doctor or the nearest hospital first. This form is not for emergency care.

Reporting an event does not mean that the product caused it. Every report helps us protect patients.

What happens after you report

  1. We receive your report and give it a reference number.
  2. We check that it has the minimum information: a reporter, a patient, a suspect product and an event.
  3. We may contact you to complete the details.
  4. We forward the report to the manufacturer and to the health authorities within the required timelines.
  5. Your personal data is kept confidential.
01

About you

Who is reporting?
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Please give a phone number or an email so we can follow up.
02

About the patient

Do not write the full name. Initials are enough.

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Sex
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Pregnancy or breastfeeding
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Please give at least one patient detail: initials, age, age group or sex.
03

About the product

Check the pack for the batch number and expiry date.

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04

What happened

Type of report (tick all that apply)
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Was the event serious? (tick all that apply)
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Did it improve after stopping the product?
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05

Other information

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Please tick the box to confirm.

We collect only the minimum personal data needed to assess the report. Please do not write the patient’s full name. Your data is kept confidential and used only for pharmacovigilance.

Thank you. Your report has been received.

Please keep this reference number. If you have photos of the product or its packaging, email them to pharmacovigilance@hattan-iq.com and quote this number.