Privacy notice for reporting human medicines adverse reactions

The HPRA operates the national system for recording and reporting details of suspected adverse reactions occurring in Ireland. Please see full details of how personal data is processed in this area.

Human Medicines Adverse Reaction Report

Fields marked with an asterisk (*) are mandatory.

To move through the steps of the form please use the Next and Previous buttons that are at the bottom of the form.

  • Reporter Information
  • Patient Information
  • Suspect Drug Information
  • Suspected Reaction
  • Outcome
  • Photos & Files
  • Preview & Submit
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Reporter Information