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العربية
Pharmacovigilance
Report
an
adverse
event
Thank you for taking the time to report a safety concern. The form takes six short steps — leave blank anything you are unsure about.
Back to pharmacovigilance
Pharmacovigilance
01
Who are you
02
Product
03
Side effect
04
Patient
05
Contact details
06
Summary
01
Step 1 of 6
Who
are
you
Tell us where you are reporting from and in what capacity.
Country
*
— Select —
Egypt
Saudi Arabia
United Arab Emirates
Kuwait
Qatar
Bahrain
Oman
Jordan
Lebanon
Iraq
Syria
Yemen
Palestine
Libya
Sudan
Tunisia
Algeria
Morocco
Türkiye
United Kingdom
United States
Canada
Germany
France
Italy
Spain
Netherlands
Nigeria
Kenya
Ethiopia
South Africa
India
Pakistan
Other
Your country of residence.
Who are you?
*
Member of the public — yourself, a patient, friend, parent or carer
Health care provider (HCP)
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