Welcome to AstraZeneca Medical

You can use this site to report an adverse event or product quality complaint. You can also ask a medical information inquiry.

What can we help you with?

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Adverse events are sometimes known as side effects and are unwanted or unexpected events or reactions to a medicine.

Medical Information enquiries are medical or scientific questions relating to our medicines and devices.

Product quality complaints relate to a physical issue with a medicine or a device and/or its packaging.

Please select an option

Adverse Event Reporting

Adverse events are sometimes known as side effects and are unwanted or unexpected events or reactions to a medicine.

Medical Information Enquiry

Medical Information enquiries are medical or scientific questions relating to our medicines and devices.

Product Quality Complaint

Product quality complaints relate to a physical issue with a medicine or device and/or its packaging

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AstraZeneca Medical

Patient Information

Contact Information

Demographics

If the exact date is unknown, please enter month and year, or year.

Height

Weight

Height

Weight

Last Menstrual Date
Due Date

Reporter Information

It looks like you are reaching out on behalf of an HCP. Please provide details about yourself.

Health Care Provider

Contact Information

Caregiver Information

Contact Information

Your Information

Which best describes your role in AstraZeneca?

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AZ initial aware date*

Patient Information

Contact Information

Demographics

If the exact date is unknown, please enter month and year, or year.

Height

Weight

Height

Weight

Last Menstrual Date
Due Date

Caregiver Information

Contact Information

Reporter Information

It looks like you are reaching out on behalf of an HCP. Please provide details about yourself.

Health Care Provider

Contact Information

Patient Information

Contact Information

Demographics

If the exact date is unknown, please enter month and year, or year.

Height

Weight

Height

Weight

Last Menstrual Date
Due Date

Health Care Professional

Contact Information

Please provide at least one contact method

Adverse Event Medication Information

Please add each medication separately using the "+Add Medication” button.

Expiration Date

Medication dates

Start Date

If the exact date is unknown, please enter month and year, or year.

End Date

If the exact date is unknown, please enter month and year, or year.

Vaccination Details

Dose 1

Expiration Date
Date Given

Dose 1

Dose 2

Vaccination Facility

Additional Patient Information

Complete only for U.S military / Department of Defense (DoD) related reports

Dose 1

Dose 2

Event Information

Please list individual adverse events using the "+ Add Event" button.

Dates this event occurred

Start Date

If the exact date is unknown, please enter month and year, or year.

End Date

If the exact date is unknown, please enter month and year, or year.

Event Duration

This field is required

Select applicable criteria for this event

Select all that apply, leave blank if none are applicable

May require medical or surgical intervention to prevent death, disability, congenital anomaly or birth defect.

Death details

Date of Death *

If the exact date is unknown, please enter month and year, or year.

Hospitalization

Admission date
Discharge date

Medication & Event Relationship

Please provide details if you think any medication and an adverse event are related.

Please change on the Product page if this is incorrect

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Please select an option

Which adverse event(s) do you think is related to this medication?*

Your Medical Question

Date due to customer

Product Quality Complaint

Expiration Date

- A description of the circumstances that led to the discovery of the product defect.

- How long have you experienced the issue with the product?

- If use or user error relates to the Product Quality Complaint.

Defect start date

If sample is available, please retain the sample for 21 days from today. AstraZeneca may request the sample as part of our investigation.