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Report a side effect \ adverse event

If you think you have experienced a side effect \ adverse event or unexpected reaction from a Teva medicine, then you should speak to the healthcare professional who prescribed the medicine as soon as you can. They will advise you what to do. You can also speak to your pharmacist.

Please also report the side effect to Teva using the form below, or choose your location on the menu to visit the local Teva website to contact us and report this information.

Visit your local Teva website

Country

Are you a Teva employee?

Yes

When was the adverse event reported to Teva employee?

Who reported the adverse event to Teva employee?

Reporter First Name

Reporter Last Name

Is the reporter who reported to Teva employee a health care professional?

yes

no

Can we follow up with the reporter to Teva employee if we have additional questions related to reported adverse event?

yes

no

If yes, please provide contact information for the reporter:

Email of reporter to Teva employee

Phone number of reporter to Teva employee

No

Reporter

First name

Last name

Are you a health care professional?

Yes

No

Due to nature of Pharmacovigilance (PV) activities and legal obligations to follow up with reporters Adverse Events (AEs) and/or special situations received by Teva, Teva might require a formal follow up in an effort to obtain additional details to facilitate a thorough case evaluation.

Can we follow up with you if we have additional questions related to reported adverse event?

Yes

Email

Telephone

No

Patient

Gender

Male

Female

Other

Prefer not to say

Initials Required

Date of birth

Age (years)

Age group

Product

Product name Required

Batch/Lot

Other Available Product Details

Side Effect\ Adverse Event Details Required

Do not use the patient’s name or any personally identifiable information (email, address, phone number)

Attach a file

Consent to the processing of your personal data

I confirm that the details I have provided are correct

By clicking the "Submit" button, you confirm your consent to the processing of the personal data as provided in the report. Personal data will be used by Teva Pharmaceutical Industries Ltd. and its affiliates solely to meet our obligations, and may be transferred out of your country.

For more information on how Teva processes your personal data, including information on your data protection rights, please visit our privacy policy.

If you would like to review in your country language, please see the list below

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