Reporting a veterinary drug side effect

Name *

Address

Phone number *

E-mail address *

I am:

Vet

Animal owner

Affected *

Pet

Person

Affected pet:

Type of side effect noted: *

Which medicine was used: *

I accept the privacy policy *

We will get back in touch with you.

*Required field

**Other adverse reaction (Adverse Event AE: Any observation that is adverse and unintentional and occurs after use of a veterinary medicinal product - regardless of whether it was caused by the preparation and regardless of the dosage. This also applies to observations made in studies.)