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AUSTRALIA AND NEW ZEALAND SPECIFIC REPORT FORM FOR
ADVERSE REACTION AND OTHER SAFETY INFORMATION
EMAIL: PV.ANZ@GUERBET.COMF006031AU11
1/3FAX: +61 2 8075 3033ONLY DATA REPORTED BY THE REPORTERREPORTER
FIRST
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How to fill out blue card adverse reaction
How to fill out blue card adverse reaction
01
Check the patient's details are correct on the blue card adverse reaction form
02
Record the details of the adverse reaction experienced by the patient
03
Provide relevant medical information such as date of reaction, symptoms, treatment given
04
Ensure the form is signed by the healthcare professional completing it
Who needs blue card adverse reaction?
01
Any healthcare professional who has encountered a patient experiencing an adverse reaction to medication
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What is blue card adverse reaction?
Blue card adverse reaction is a form used to report adverse reactions to medicinal products.
Who is required to file blue card adverse reaction?
Healthcare professionals and marketing authorization holders are required to file blue card adverse reaction.
How to fill out blue card adverse reaction?
Blue card adverse reaction can be filled out online or by submitting a paper form with all the required information.
What is the purpose of blue card adverse reaction?
The purpose of blue card adverse reaction is to monitor and report adverse reactions to medicinal products in order to ensure patient safety.
What information must be reported on blue card adverse reaction?
The information that must be reported on blue card adverse reaction includes the details of the adverse reaction, the medicinal product involved, and the patient's information.
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