An adverse event is any undesirable experience associated with the use of a medicinal product in a patient. It is commonly referred to as ‘side effect’.
1. Patient particulars
This identifies the person who experienced the Adverse Event. The particulars include initials, age, sex etc.
2. Event particulars
These describe the symptom/sign. Additional data include: onset, course and outcome of the event.
3. Reporter details
You should provide your name, address and phone number as you may need to be contacted for further information.
If you are not a healthcare professional, provide details of the prescribing doctor too.
4. Drug details
These include name, batch number, dosage etc. of the medicinal product suspected to cause the adverse event