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An adverse event or suspected adverse reaction is considered serious if, in the view of either the investigator or sponsor, it results in any of the following outcomes: Death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, a persistent or docHub
MedWatch is the Food and Drug Administrations (FDA) program for reporting serious reactions, product quality problems, therapeutic inequivalence/failure, and product use errors with human medical products, including drugs, biologic products, medical devices, dietary supplements, infant formula, and cosmetics.
Include the following information on Form FDA 1571: Contact information and mailing address of the sponsor (or sponsor-investigator) IND number, if it has been issued. Serial number (see below) The name(s) of the drug/biologic and the indication being studied. The contents of the submission.
Forms may be downloaded from our website at and submitted by Fax or mail following the instructions; by completing and submitting forms online; or by calling FDA at 800FDA1088 (8003221088) and reporting by telephone.
Prepare a complete Form FDA 3500A for the device that is most likely to have caused or contributed to the event and a separate Form FDA 3500A with only section D (Suspect Medical Device) and Blocks F9, F10, F13, and F14 filled in for each additional device. Identify each report as device 1, device 2, etc.
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Form FDA 3500 may be used by health professionals or consumers for VOLUNTARY reporting of adverse events, product use/medication errors, product quality problems, and therapeutic failures for: Prescription and over-the-counter medicines including those administered in a hospital or outpatient infusion centers.
FDAs preferred method of submission is via the FDA Electronic Submissions Gateway (ESG). For more information, see the Electronic Submissions Gateway web page. For automated processing of your submissions, use the ESG and submit an FDA fillable form with each submission.
How to Report to MedWatch Online: Use the interactive form at FDA Form 3500. FDA encourages online reporting because it is the quickest and most direct route. Fax: Get the form (as above) and fax to 1-800-FDA-0178. Phone: Call 1-800-FDA-1088 Monday-Friday between 8 a.m. and 4:30 p.m. EST.

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