Reporting of adverse reactions and complaints

Below are two forms.

Please fill in the relevant form and click on Submit below the form you have filled in.

NOTE fields marked with * are mandatory
NOTE you must add up and fill in the total next to the submit button before you can send the form.

Always save the product until we have dealt with the case.

If you have not received confirmation from us within three days, please contact us HERE.

NOTE! Reporting of adverse reactions only applies to veterinary medicines

Reporting an adverse reaction

I am / represent* I am / represent* Veterinary surgeon Private person / animal owner Other

First and last name*

E-mail address*

Telephone*

Company (if applicable)

Address

Postal code and city

Article number (if applicable)

Select product name*

Other medicine/substance

Batch / LOT no (written on the packaging)

Treatment date

On what date was the suspected side effect detected?

From intake / treatment, how long did the symptoms last?

Individual affected by adverse reaction*

Describe the event, include symptoms (max 300 tkn)*

3 + 13 =

I am / represent* I am / represent* Veterinary surgeon Private person / animal owner Other

First and last name*

E-mail address*

Telephone*

Company (if applicable)

Address

Postal code and city

Product name*

Article number (if applicable)

Batch / LOT no (written on the packaging)

Date of occurrence

Date of purchase

Complaint, briefly describe what has happened (max 300 tkn)*

13 + 7 =