Privacy notice for Serious Adverse Reaction/Event Report Form – Human Tissues and Cells 

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.

Tissues and Cells Adverse Reaction/ Event Report Form

IN CONFIDENCE
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
  • SAE/SAR Details
  • Implicated Tissue/Cells
  • Details and Categorisation
  • Photos & Files
  • Preview & Submit
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Reporter Information