Gender * Male Female
Bogus Drug
Overdose
Paternal Exposures
The Drug Has Exceeded Its Expiration Date
Batch Number Passed the Assay/Test
Batch Number Did Not Pass the Assay/Test
Medication Errors
Misuse
Abuse
Occupational Exposure
Use Beyond the Instruction Manual
N/A
Unknown
Discontinuing Medication
Reduce Dose
Increase Dosage
Dose Unchanged
Other (Concomitant) Drug Products *
Follow-up Outcome After Drug Adjust Treatment *
Does the Reaction/Event Symptoms Resolved or Alleviated After Discontinuation or Dosage Reduction *
Reaction/Event Reappeared After Suspect Products Reintroduction *
Severity *
Relevance Evaluation
