Together we can get this
taken seriously.

What happens when you submit

Most people never report. They think the form goes nowhere.

See the whole form before you start

Four films show a whole report being filled in, with the waiting cut out. No sound, so you can watch anywhere.

These are the UK and US forms. Most countries ask the same things in the same order: the medicine, the dates, and what happened. If your country is not here, these still show you what to expect.

Find the reporting form for your country

Official reporting forms. Where a form exists in your own language, that is the one we link to.

Reporting PFS or PSSD? Pick your country and we show you the exact MedDRA term to copy. Every form opens in a new tab, so this page stays open.