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Adverse Event Reporting Worksheets

Initial Adverse Event Report

Adverse Event Report Worksheet (April 8, 2014 - PDF - 189 KB)

Adverse Event Report Follow Up Information

Adverse Event Report Follow Up Worksheet (April 8, 2014 - PDF - 83 KB)

Back to Adverse Event Reporting page

  • PDF Forms must be opened using a Windows or Mac (Apple) desktop or laptop computer. Currently, NO smartphones or tablets are supported. 
  • To open a PDF file, you will need to have the Adobe Acrobat Reader software installed. You can download the latest version of Adobe Acrobat Reader FREE from the Adobe Reader download page on Adobe's Web site.


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