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Privacy notice for reporting veterinary medicines adverse reactions/events

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

Veterinary Medicines Adverse Reaction/Event Report

Fields marked with an asterisk (*) are mandatory.

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Reporter Information
Animal Information
Product Information
Adverse Reaction/Event
Photos & Files
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Reporter Information

Title: *

First Name: *

Surname: *

Organisation:

Department:

Address 1: *

Address 2:

Address 3:

City:

County:

Country:

Telephone:

Mobile:

Email: *

Confirm Email: *

Reporter Type:

Other:

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Date Printed: 10/10/2024