Gedeon Richter Контакты Adverse Event Reporting
Adverse Event Reporting

Reporter information

Please provide the following information in help us to contact you after investigating the case.

Patient information

Please enter the patient's data. At least one of the fields below is mandatory.

Side effect description

Please enter the details of the symptoms you have experienced.

Did you experience one of the following incidents?

Please select the experienced side-effects during the treatment

Medicine details

Please provide more information about the treatment

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