How to use the adverse event reporting form to document 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section 1 – Reporter Details. Fill in your first name, surname, occupation, and contact information. Ensure at least one subfield marked with * is completed.
3. Depending on the source of the adverse event, complete the relevant section (A, B, C, or D) before moving on to Section 2. For example, if reporting from a Non-Interventional Study (NIS), fill out Section A first.
4. In Section 3 – Patient Details, provide comprehensive information about the patient including name/initials, gender, date of birth or age at the time of the event.
5. Proceed to Section 4 – Suspect Product. Document details about the product involved in the adverse event including name, dosage, and administration route.
6. In Section 5 – Adverse Event(s)/Special Situation(s), list all adverse events experienced by the patient along with onset dates and outcomes.
7. Complete any additional sections as necessary and review all entries for accuracy before submitting your report to Roche Local Safety Unit or Roche Safety Operations.

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