Side effects
Please tell us about the side effect you want to report.
About the side effect
Product related
About this product
About the person experiencing the side effect
Who experienced the side effect? * Required.
What is the gender of the person experiencing the side effect? * Required.
Tell us more... The rest of the questions on this page will give us more information so that we can understand about the side effect and help others with similar issues.
Are they of Aboriginal or Torres Strait Islander and/or South Sea Islander descent?
We respect your privacy. Any personal information that you have provided will be collected and used to assist you with your medical enquiry and/or may be used to report adverse events relating to our products in accordance with our regulatory obligations. We may share that information with regulatory authorities or third parties that we engage to process adverse events and enquiries on our behalf. We may also use the information to maintain records of enquiries and reports and to investigate or follow up on your enquiry or report. If you are providing us with someone else’s personal information, you confirm that you have obtained their consent to do so. You can view further details on how we manage personal information in our privacy policy at www.inovapharma.com/privacy. If you have any questions or concerns regarding the management of your personal information, please contact privacy@inovapharma.com.
Reporter and contact information
Can we contact you if we need more information about your report? If you consent for iNova to contact you, we will via the email address provided above
Can we contact the treating healthcare professional (HCP) if we need more information about the event(s) reported? Please provide contact details of the treating HCP and follow-up with the HCP will preferably be via the email address provided below.