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All Serious Adverse Events must be reported within 24 hours after onset. Please email the completed SAE form to apostel8@amc.nl A follow-up report must be sent within 7 days and final report when
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How to fill out serious adverse event form

01
Obtain the serious adverse event form from the appropriate regulatory authority or institution.
02
Fill out the patient information section with the necessary details such as name, date of birth, and contact information.
03
Describe the serious adverse event in detail, including the date and time it occurred, any symptoms observed, and the severity of the event.
04
Provide information on any treatment or medications that were given in response to the event.
05
Include the contact information of the healthcare provider who is reporting the event.
06
Submit the completed form according to the guidelines provided by the regulatory authority or institution.

Who needs serious adverse event form?

01
Healthcare providers, researchers, and institutions involved in clinical trials or other medical studies may need to fill out a serious adverse event form when reporting unexpected or harmful events that occur during the course of the study.

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A serious adverse event form is a document used to report any serious side effects or negative outcomes that occur during a clinical trial or after the administration of a medical product.
Investigators and sponsors of clinical trials are generally required to file serious adverse event forms to regulatory authorities.
To fill out a serious adverse event form, one must provide detailed information including patient identification, event description, date of occurrence, seriousness, and any relevant medical history.
The purpose of a serious adverse event form is to ensure that significant safety information is reported and assessed, allowing for the evaluation of the risk associated with a medical product.
Information that must be reported includes patient demographics, description of the adverse event, date of occurrence, assessment of severity, and any actions taken.
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