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Reports can be faxed to 1-866-678-6789 (toll-free) or mailed to: Canada Vigilance Program, Marketed Health Products Directorate, Health Canada, Postal Locator 0701E, Ottawa, Ontario K1A 0K9. Postage paid labels are available at .health.gc.ca/medeffect or by calling 1-866-234-2345 (toll-free).
Report if the adverse event resulted in a substantial disruption of a persons ability to conduct normal life functions, i.e., the adverse event resulted in a docHub, persistent or permanent change, impairment, damage or disruption in the patients body function/structure, physical activities and/or quality of
The form is designed to be used voluntarily by Manufacturer/Importer/Distributor of Medical Devices, Healthcare Professionals and anyone with direct/indirect knowledge of Medical Devices Adverse Event.
Incident must be reported if a medical device is sold in Canada and the incident relates to a failure of the device or a deterioration in its effectiveness, inadequacy in its labeling or directions for use, and has contributed to one or more of the following outcomes: Death of a patient, user or other person.
Who is responsible for reporting serious adverse events (SAEs)? Manufacturers are under mandatory requirements to report serious adverse events related to their products to the US Food and Drug Administration (FDA). Reporting of a serious adverse event is voluntary for healthcare professionals, consumers, and patients.
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Submit reports to the FDA through the MedWatch program in one of the following ways: Complete the MedWatch Online Reporting Form. Download form or call 1-800-332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to 1-800-FDA-0178.
The applicant must report each adverse drug experience that is both serious and unexpected, whether foreign or domestic, as soon as possible but no later than 15 calendar days from initial receipt of the information by the applicant. (ii) Postmarketing 15-day Alert reports - followup.
Fatal or life-threatening serious unexpected suspected adverse reactions (SUSARs) reports: The sponsor (or sponsor-investigator) must notify the FDA of any SUSARs to the study drug as soon as possible but no later than 7 calendar days after the initial receipt of the information.

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