• ADWIA

    ADWIA pharmaceuticals was founded in 1984 with the mission to bring the latest technologies and the highest available know-how in the international scene to the local market.

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  • Pharmacovigilance

    Pharmacovigilance is the pharmacological science relating to the collection, detection, assessment, monitoring, and prevention of adverse effects with pharmaceutical products.

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  • Safety Report

    Safety Report is report a suspected problem or incident and monitor the safety of all healthcare products .

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  • Hepatitis C

    Hepatitis C is a liver disease caused by the hepatitis C virus: the virus can cause both acute and chronic hepatitis

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  Device Report ....  
Step 1 of 3 : About you
I am a ... *
Please Choose
Qualification
Title
Please Choose
First name *
Surname
House Name or Number
Address line 1
Address line 2
Country
City
Area
Postcode
Telephone Number
Email *
Password *
Step 2 of 3 : Please give as many of the following device details as you can
Kind of device *
Name of manufacture
Device serial number
Name of device ( or model number )
Batch number / Lot number
Name of where you got device
Address (if known)
Name of person (if known)
Telephone (if known)
Where did you get the device from?
Please Choose
If Other, please specify
Step 3 of 3 : About what happen
What went wrong with the device? *
When did this happen?
RadDatePicker
RadDatePicker
Open the calendar popup.
Where is the device now?
Was anyone injured?
Please Choose
If yes, was the injury
Please Choose
Please describe the injury and the person who was injured

Thank you bcbcv for your report

Here is your reference number:

2017/007/011/401/001

If you supplied an e-mail address a copy of this form will be e-mailed to you.