Report an Adverse Drug Reaction

If you have experienced an adverse drug reaction to a CSL Behring product, we recommend that you consult with your doctor, pharmacist, or nurse.

To report an adverse drug reaction to a CSL Behring product, please provide the following information. Information on data protection regarding the reporting of adverse drug reactions can be found here.

Report an Adverse Drug Reaction

CSL BEHRING PRODUCT INFORMATION

Product name

Reason for the product administration (indication)

Start of therapy with the product

End of therapy with the product

Batch number of the applied product

DETAILS OF THE ADVERSE DRUG REACTION

Time of onset of adverse drug reaction

Time of the end of the adverse drug reaction

Description of the adverse drug reaction, with an indication of the treatments resulting from it

INFORMATION ABOUT THE PATIENT

Patient initials (first name/last name)

Age

Gender

YOUR DATA

Name

Your relationship with the patient

Country

Your contact details (phone no. or email address)

Thank you

Thank you for reporting an adverse drug reaction.

CSL Behring's Global Clinical Safety & Pharmacovigilance department will be in touch.