Adverse reaction reporting

Pharmacovigilance Adverse Reaction Reporting Form

Download ADR Reporting Form Guide download

  • PATIENT
  • REPORTER / PRIMARY SOURCE
  • SUSPECTED MEDICINE
  • SUSPECTED ADVERSE DRUG REACTION (ADR)
  • Send
  • Complete
Use format years/months
Specify in kg

Other means of communication

Comunicar con Diater

Contacting Diater directly:
farmacovigilancia@diater.com
+34 914 96 60 13

Comunicar con su médico

Through your doctor, pharmacist, nurse, etc.