Fields that you must complete are marked with this symbol:
If you are reporting about your own suspected reactions to a medicine and you are a healthcare professional, please fill in the 'reporter type' as healthcare professional.
Thank you for choosing to report a suspected adverse reaction to the Yellow Card Scheme. The information that you provide can help us in our work to identify previously unrecognised side effects, and thereby improve the safe use of medicines. We will use the email address provided below for future correspondence about this report, however if this is not given then we will correspond using the postal address provided.
If you are a healthcare professional we ask for your occupation as this helps us to have a better understanding of the the case.
Either address or email address is required.
We are sorry to hear that you or someone that you know has had a side effect to the medicine they were taking. The information that you provide when you report the experience to us can help us in our work to identify previously unrecognised side effects, and thereby improve the safe use of medicines.
We would appreciate if you could please provide your contact details below so we can follow up for further information about your report if necessary.
