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Regulatory Procedures Manual December 2012 Chapter 3 Commissioning Exhibit 3-12 FORM FDA 2081: COMMISSIONED OFFICER'S RECORD Date (mmlddJYWY) DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug
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The 3-12 form FDA 2081 is a specific form used by the Food and Drug Administration (FDA) for reporting certain drug adverse events.
Healthcare professionals, including doctors, nurses, and pharmacists, are required to file the 3-12 form FDA 2081 if they become aware of any drug adverse events.
The 3-12 form FDA 2081 can be filled out online on the FDA's official website. It requires the reporter to provide details about the adverse event, including the patient's information, the drug involved, and a description of the adverse event.
The purpose of the 3-12 form FDA 2081 is to collect information about drug adverse events to monitor the safety and effectiveness of medications. This information helps the FDA identify potential risks and take appropriate actions to protect public health.
The 3-12 form FDA 2081 requires the reporter to provide details such as the patient's demographic information, the drug name, dosage, and administration route, the adverse event description, any additional relevant medical history, and contact information of the reporter.
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