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Pharmacovigilance
Pharmacovigilance activities are activities to monitor, identify, assess and control adverse drug reactions and other harmful reactions related to the use of drugs. 
Suspected adverse drug reactions include harmful reactions unrelated to the purpose of medication that occur with qualified drugs under normal usage and dosage, as well as other harmful reactions suspected to be related to drugs, such as those that may be related to the drug quality , overdosage , medication errors. 
Dear customers, if you have suspected adverse drug reactions after using any of the products of Sichuan Yuanda Shuyang Pharmaceutical Co.,Ltd., please report them through this page.
Information Collection Form for Suspected Adverse Drug Reactions
If you have any question, please consult the supply chain

+86 28 81733764

ydsypv@shuyang.com

Information Collection Form for Suspected Adverse Drug Reactions
  • *Name
  • *Gender
  • *Age
  • *Weight
  • *Medical History
  • Medical Information
Drug Information
  • *Suspected Drug
  • Manufacturer
  • *Batch No.
  • *Start Time of Medication
  • *End Time of Medication
  • Usage and Dosage
  • *Indication for Use
  • *Concomitant Drug
  • Manufacturer
  • Batch No.
  • *Start Time of Medication
  • *End Time of Medication
  • Usage and Dosage
  • Indication for Use
Reaction Information
  • *Reaction
  • *Onset Time
  • *End Time
  • *Seriousness
  • *Did the reaction disappear or decrease after discontinuation or reducing the dosage?
  • *Did the reaction occur again after reusing the suspected drug?
  • *Outcome
  • *Narrative
Other Important Information
  • Past Adverse Drug Reactions
  • Past Medical History
Reporter Information
  • *Name
  • *Contact Information
  • *Occupation
  • *Consent to Follow-up or Not
  • Such as medical records, test reports, relevant pictures.
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