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Maligayang pagdating sa Astrazeneca Medical

Maaari mong gamitin ang site na ito upang mag-ulat ng mga masamang kaganapan o mga reklamo sa kalidad ng produkto para sa mga produkto ng AstraZeneca, Alexion (kumpanya ng AstraZeneca Rare Disease), at iba pang kumpanya ng AstraZeneca ayon sa abiso sa privacy na kasama sa mga website nito. Maaari ka ring humiling ng medikal na impormasyon para sa mga nabanggit na produkto.

Kung nag-uulat ka ng isang Masamang Kaganapan/Reklamo sa Kalidad ng Produkto, piliin ang bansa kung saan naganap ang Masamang Kaganapan/Reklamo sa Kalidad ng Produkto, kahit ano pa ang iyong lokasyon.

Ano ang matutulungan namin sa iyo?

Piliin ang lahat na nalalapat

Ang mga Adverse Event na kilala minsan bilang side effect, ay hindi kanais-nais o hindi inaasahang mga kaganapan o reaksyon sa isang gamot o aparato.

Ang Medikal na impormasyong katanungan ay medikal o pang-agham na mga katanungan na may kaugnayan sa aming mga gamot at mga aparato.

Ang mga reklamo sa kalidad ng produkto ay may kaugnayan sa isang pisikal na isyu sa isang gamot o isang aparato at/o packaging nito.

Mangyaring pumili ng opsyon

Mag-ulat ng Masamang Kaganapan/epekto

Ang mga salungat na pangyayari ay paminsan-minsang kilala bilang mga side effect at hindi kanais-nais o hindi inaasahang mga pangyayari o reaksyon

Humiling ng Impormasyon Medikal

Ang Medikal na impormasyong katanungan ay medikal o pang-agham na mga katanungan na may kaugnayan sa aming mga gamot at mga aparato.

Mag-ulat ng Reklamo sa Kalidad ng Produkto

Ang mga reklamo sa kalidad ng produkto ay may kaugnayan sa isang pisikal na isyu sa isang gamot o isang aparato at/o packaging nito.

Alin ang pinakamahusay na naglalarawan sa iyo?

Ako ay isang...

If you are a healthcare professional, you can access further information about AstraZeneca medicines and devices via https://azmedical.com.

(Piliin lamang ang opsyong ito kung sigurado kang naganap ang masamang kaganapan bilang bahagi ng AstraZeneca Early Access Program (EAP), Single Patient Compassionate Use (SiPCU), Post Trial Access (PTA) o Global Access to Medicine (GATM)).

AstraZeneca Medical

Impormasyon ng Pasyente

Pharmaceutical companies are required to report certain adverse events occurring in Northern Ireland to the European Medicines Agency.

Required by the health authorities.

Numero ng pagkakakilanlan ng programa na ibinigay ng AstraZeneca. Para sa mga EAP/PTA, maaaring ito ay isang D-code (o iba pang code na ibinigay ng AstraZeneca), para sa SiPCU, mangyaring ilagay ang "SiPCU", para sa GATM, mangyaring ilagay ang "GATM." Kung hindi ka sigurado, mangyaring makipag-ugnayan sa iyong contact sa AstraZeneca.

Code ng pagkakakilanlan para sa partikular na pasyente na nakaranas ng di kanais-nais na pangyayari. Kung hindi ka sigurado, mangyaring makipag-ugnayan sa iyong contact sa AstraZeneca.

Impormasyon ng contact

Demokgrapiko

Kung hindi alam ang eksaktong petsa, mangyaring ipasok ang buwan at taon, o taon.

Taas

Timbang

Taas

Timbang

Huling petsa ng regla
Takdang petsa ng panganganak

Impormasyon ng Reporter

Mukhang ikaw ay nakikipag-ugnayan sa ngalan ng isang HCP. Mangyaring magbigay ng mga detalye tungkol sa iyong sarili.

Tagapagbigay ng Pangangalagang Pangkalusugan

Pharmaceutical companies are required to report certain adverse events occurring in Northern Ireland to the European Medicines Agency.

Required by the health authorities.

Impormasyon ng contact

Tagapag-alaga

Pharmaceutical companies are required to report certain adverse events occurring in Northern Ireland to the European Medicines Agency.

Required by the health authorities.

Impormasyon ng contact

Ang Iyong Impormasyon

Alin ang pinakamahusay na naglalarawan ng iyong papel sa Astrazeneca?

Ako ay isang...

Please enter your Patient Support Program or Market Research Program number here. For all other programs, please tick ‘Not applicable’

Unang petsa ng kamalayan ng AZ *

Ang mga ODCP vendor ay hinihiling na ilagay ang Patient ID o Vendor Case Reference ID sa seksyong ito. Mangyaring malinaw na tukuyin kung anong impormasyon ang ibinigay, Patient ID o Vendor Case Reference ID, tulad ng sumusunod: “Pat ID: [xxx]” o “Ref ID: [yyy]”; at tiyaking ang iyong inilalagay ay hindi lalampas sa 20 karakter at walang kasamang PII data. Ang karagdagang impormasyon ay maaaring ilagay sa Relasyon ng Gamot & Kaganapan na Seksyon.

Suppliers of Organized Data Collection Programs, such as Patient Support Programs, Market Research, Non-Interventional Studies, etc., are requested to fill in this field with either the Vendor Local Reference ID or Patient ID, and to clearly specify which data is being included. Use one of the following formats:

To enter only the Vendor Reference ID, write: "Ref ID: [yyy]"

To enter only the Patient ID, write: "Pat ID: [xxx]"

Warning: Make sure that the data entered does not exceed the 20-character limit.

If it is necessary to provide both identifiers, include them exclusively in the free text field located in the "Relationship between Medication and Event" section as follows:

"Pat ID: [xxx]; Ref ID: [yyy]"

Impormasyon ng Pasyente

Pharmaceutical companies are required to report certain adverse events occurring in Northern Ireland to the European Medicines Agency.

Required by the health authorities.

Numero ng pagkakakilanlan ng programa na ibinigay ng AstraZeneca. Para sa mga EAP/PTA, maaaring ito ay isang D-code (o iba pang code na ibinigay ng AstraZeneca), para sa SiPCU, mangyaring ilagay ang "SiPCU", para sa GATM, mangyaring ilagay ang "GATM." Kung hindi ka sigurado, mangyaring makipag-ugnayan sa iyong contact sa AstraZeneca.

Code ng pagkakakilanlan para sa partikular na pasyente na nakaranas ng di kanais-nais na pangyayari. Kung hindi ka sigurado, mangyaring makipag-ugnayan sa iyong contact sa AstraZeneca.

Impormasyon ng contact

Demokgrapiko

Kung hindi alam ang eksaktong petsa, mangyaring ipasok ang buwan at taon, o taon.

Taas

Timbang

Taas

Timbang

Huling petsa ng regla
Takdang petsa ng panganganak

Tagapag-alaga

Pharmaceutical companies are required to report certain adverse events occurring in Northern Ireland to the European Medicines Agency.

Required by the health authorities.

Impormasyon ng contact

Impormasyon ng Reporter

Mukhang ikaw ay nakikipag-ugnayan sa ngalan ng isang HCP. Mangyaring magbigay ng mga detalye tungkol sa iyong sarili.

Tagapagbigay ng Pangangalagang Pangkalusugan

Pharmaceutical companies are required to report certain adverse events occurring in Northern Ireland to the European Medicines Agency.

Required by the health authorities.

Impormasyon ng contact

Impormasyon ng Pasyente

Pharmaceutical companies are required to report certain adverse events occurring in Northern Ireland to the European Medicines Agency.

Required by the health authorities.

Numero ng pagkakakilanlan ng programa na ibinigay ng AstraZeneca. Para sa mga EAP/PTA, maaaring ito ay isang D-code (o iba pang code na ibinigay ng AstraZeneca), para sa SiPCU, mangyaring ilagay ang "SiPCU", para sa GATM, mangyaring ilagay ang "GATM." Kung hindi ka sigurado, mangyaring makipag-ugnayan sa iyong contact sa AstraZeneca.

Code ng pagkakakilanlan para sa partikular na pasyente na nakaranas ng di kanais-nais na pangyayari. Kung hindi ka sigurado, mangyaring makipag-ugnayan sa iyong contact sa AstraZeneca.

Impormasyon ng contact

Demokgrapiko

Kung hindi alam ang eksaktong petsa, mangyaring ipasok ang buwan at taon, o taon.

Taas

Timbang

Taas

Timbang

Huling petsa ng regla
Takdang petsa ng panganganak

Tagapagbigay ng Pangangalagang Pangkalusugan

Detalye ng Tagapagbigay ng Pangangalagang pangkalusugan

Impormasyon sa Pakikipag-ugnay sa Tagapagbigay ng Pangangalagang pangkalusugan

Mangyaring magbigay ng hindi bababa sa isang paraan ng pakikipag-ugnay

Gamot/Device na nagdulot ng di kanais-nais na panyayari

Pakidagdag ang bawat gamot / device nang hiwalay gamit ang Add Medication / Device button.

Petsa ng pag-expire

Please refer to the indications and usage described in the Japanese product information when entering the reason for taking the medication.

Mga petsa ng gamot

Petsa ng pagsisimula

Kung hindi alam ang eksaktong petsa, mangyaring ipasok ang buwan at taon, o taon.

Petsa ng pagtatapos

Kung hindi alam ang eksaktong petsa, mangyaring ipasok ang buwan at taon, o taon.

Mga detalye ng pagbabakuna

Dosis 1

Petsa ng Pag-expire

Kung hindi alam ang eksaktong petsa, mangyaring ipasok ang buwan at taon, o taon.

Petsa kung kailan ibinigay

Kung hindi alam ang eksaktong petsa, mangyaring ipasok ang buwan at taon, o taon.

Dosis 1

Dosis 2

Vaccination Facility

Additional Patient Information

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

Dosis 1

Dosis 2

Impormasyon ng Kaganapan/epektong naranasan kaugnay ng paginom ng gamot/paggamit ng device

Pakilista ng mga indibidwal na masamang kaganapan gamit ang button na "Magdagdag ng Kaganapan/epekto"

Kung ang impormasyon ukol sa Masamang Kaganapan ay lumampas sa bilang ng mga karakter, mangyaring isama ang natitirang impormasyon sa kahon ng karagdagang impormasyon (Relasyon ng Gamot & Kaganapan) sa ibaba.

Petsa naganap ang kaganapang ito

Petsa ng pagsisimula

Kung hindi alam ang eksaktong petsa, mangyaring ipasok ang buwan at taon, o taon.

Petsa ng pagtatapos

Kung hindi alam ang eksaktong petsa, mangyaring ipasok ang buwan at taon, o taon.

Tagal ng kaganapan
Kinakailangan ang patlang na ito

Piliin ang naaangkop na pamantayan para sa Kaganapan/epekto

Piliin ang lahat ng naaangkop, i-blangko kung wala ang naaangkop

Pour les Collaborateurs AstraZeneca / Prestataires AstraZeneca:

sélectionner si applicable le ou les critère(s) de gravité tel que rapporté par le notificateur, sans interprétation de votre part.

Sélectionner tous les critères applicables (laisser vide si non applicable)

Maaaring mangailangan ng medikal/surgery interbensyon upang maiwasan ang kamatayan, kapansanan, congenital anomaly o depekto ng kapanganakan

Mga detalye ng kamatayan

Petsa ng kamatayan

Kung hindi alam ang eksaktong petsa, mangyaring ipasok ang buwan at taon, o taon.

Pagka-ospital

Petsa ng pagpasok sa ospital

Kung hindi alam ang eksaktong petsa, mangyaring ipasok ang buwan at taon, o taon.

Petsa ng paglabas sa ospital

Kung hindi alam ang eksaktong petsa, mangyaring ipasok ang buwan at taon, o taon.

Relasyon ng Gamot & Kaganapan

Mangyaring magbigay ng mga detalye kung sa tingin mong ang kaganapan/epektong naranasan ay nauugnay sa anumang gamot/aparato.

Please change on the Product page if this is incorrect

Mangyaring pumili ng opsyon

Mangyaring pumili ng opsyon

Alin sa mga kaganapan/epektong naranasan ang sa palagay mo ay nauugnay sa gamot/aparato na ito?*

Ang iyong Medikal na Tanong

Takdang petsa para sa customer

Reklamo sa Kalidad ng produkto

Petsa ng pag-expire

Ang mga pagsisiyasat sa Mabilisang proseso ay nakalaan para sa mga napakaseryosong PQC na may potensyal na magdulot ng panganib sa mga pasyente at/o nangangailangan ng mabilis na abiso sa mga awtoridad o ahensyang pangkalusugan .

Petsa ng pagsisimula/unang pagbatid ng depekto

- Ilarawan ang mga detalye ng reklamo at ang mga pangyayari na humantong sa pagtuklas.

- Kailan at gaano katagal mo naranasan ang isyu sa produkto?

- Naganap ba ang isyu sa kalidad bago, sa panahon o pagkatapos ng paggamit ng produkto?

Kung sample ay available mangyaring itabi sa loob ng 21 araw mula ngayon. Maaaring hilingin ng AstraZeneca ang sample bilang bahagi ng aming pagsisiyasat.

Address kung saan maaring isauli ang sample

Please help us in understanding the details of your complaint by answering the following questions*

Appearance, Packaging

Appearance, Device

Appearance, Drug

Warm Product

Missing Pack Item

Needle Damage/Malfunction

Activation prior to injection at cap removal

Activation prior to opening carton

Activation prior to injection, other

Slow Injection

Medication expels while holding down the device

Device lifts up or is lifted up before injection is complete

Injection starts or continues after lifting up device

Unable to insert needle into the skin

Medication observed at injection site after lifting up

No Click Heard

Device Appearance, Cosmetic damage

Device Appearance, Foreign Matter

Device Appearance, Plunger Rod, Stopper, Needle Guard, Syringe, Finger Flange, Needle Cover

Attachment/Detachment Issue Plunger Rod/Stopper

Attachment/Detachment Issue Syringe Plunger Rod back out

Attachment/Detachment Issue Needle Cover

Attachment/Detachment Issue Needle Cover

Attachment/Detachment Issue Finger Flange

Attachment/Detachment Issue Needle Guard

B/M/D Plunger Rod

B/M/D Finger Flange

B/M/D Needle Guard

B/M/D Needle Cover

B/M/D Stopper

B/M/D Syringe

Device doesn’t function

Incorrect Dosing administered: Incorrect Dose

Incorrect Dosing administered: Incomplete dose

Device Label Missing/Damaged: Missing Label

Device Label Missing/Damaged: Unreadable Label

Device Label Missing/Damaged: Flawed Label

Device Label Missing/Damaged: Damaged Label

Fluid present after use

Fluid present during set up

Fluid present from a component: Needle Cover

Fluid present from a component: Syringe

Fluid present from a component: Stopper

Fluid present from a component: Unspecified

Device Missing Item/Needle Cover

Device Missing Item/Plunger Rod

Device Missing Item/Needle Guard

Device Missing Item/Finger Flange

Device Missing Item/Syringe

Needle Cover Damage

Needle Cover Difficult to Remove

Needle Clogged

Damaged Needle/Unspecified

Damaged Needle/Dull

Damaged Needle/Bent

Damaged Needle/Tip flat or not beveled

Damaged Needle/Needle detached/broke off

Damaged Needle/Needle missing

Needle Guard deployed early/ during carton opening

Needle Guard deployed early/ upon arrival

Needle Guard deployed early/removal from package

Needle Guard deployed early/removal of Needle Cover

Needle Guard deployed late

Needle Guard undeployed

Unable to administer/No dose

Unable to administer/No drug coming out

Pack Broken/Malformed/Damaged- Carton

Pack Broken/Malformed/Damaged- TES

Broken/Malformed/Damaged- Tray

Pack Broken/Malformed/Damaged- Carton Dirty

Foreign Matter in the packaging

Instructions Difficult to Understand

Literature Missing/Damaged: Missing Literature

Literature Missing/Damaged: Damaged Literature

Missing Text/IFU

Incorrect text/IFU

Missing Text/PI

Incorrect text/PI

Pack Artwork:Missing Text/Carton

Pack Artwork:Incorrect text/Carton

Missing Pack Item/APFS

Missing Pack Item/Tray

Pack Mix Up/Lot numbers

Pack Mix Up/Lliterature

Pack Printing/Flawed text

Pack Printing/missing text

Pack Printing/unreadable text

Product Appearance/Air Bubbles

Product Appearance/Cloudiness

Product Appearance/Discoloration

Consistency/Solubility

Foreign matter inside the syringe

Different/wrong looking APFS

Incorrect color of Plunger Rod

Incorrect color of Needle Guard

Incorrect color of Finger Flange

Different/wrong looking APFS

Different/wrong looking APFS

Different/wrong looking APFS

Odor/Taste/Drug

Odor/Taste/Package Components

Pack/Other

Medical/Adverse Event

Medical/Product Tag Alert

Appearance, Packaging

Appearance, Device

Appearance, Drug

Warm Product

Missing Pack Item

Needle Damage/Malfunction

Activation prior to injection at cap removal

Activation prior to opening carton

Activation prior to injection, other

Slow Injection

Medication expels while holding down the device

Device lifts up or is lifted up before injection is complete

Injection starts or continues after lifting up device

Unable to insert needle into the skin

Medication observed at injection site after lifting up

No Click Heard

Device Appearance, Cosmetic damage

Device Appearance, Foreign Matter

Device Appearance, Plunger Rod, Stopper, Needle Guard, Syringe, Finger Flange, Needle Cover

Attachment/Detachment Issue Plunger Rod/Stopper

Attachment/Detachment Issue Syringe Plunger Rod back out

Attachment/Detachment Issue Needle Cover

Attachment/Detachment Issue Needle Cover

Attachment/Detachment Issue Finger Flange

Attachment/Detachment Issue Needle Guard

B/M/D Plunger Rod

B/M/D Finger Flange

B/M/D Needle Guard

B/M/D Needle Cover

B/M/D Stopper

B/M/D Syringe

Device doesn’t function

Incorrect Dosing administered: Incorrect Dose

Incorrect Dosing administered: Incomplete dose

Device Label Missing/Damaged: Missing Label

Device Label Missing/Damaged: Unreadable Label

Device Label Missing/Damaged: Flawed Label

Device Label Missing/Damaged: Damaged Label

Fluid present after use

Fluid present during set up

Fluid present from a component: Needle Cover

Fluid present from a component: Syringe

Fluid present from a component: Stopper

Fluid present from a component: Unspecified

Device Missing Item/Needle Cover

Device Missing Item/Plunger Rod

Device Missing Item/Needle Guard

Device Missing Item/Finger Flange

Device Missing Item/Syringe

Needle Cover Damage

Needle Cover Difficult to Remove

Needle Clogged

Damaged Needle/Unspecified

Damaged Needle/Dull

Damaged Needle/Bent

Damaged Needle/Tip flat or not beveled

Damaged Needle/Needle detached/broke off

Damaged Needle/Needle missing

Needle Guard deployed early/ during carton opening

Needle Guard deployed early/ upon arrival

Needle Guard deployed early/removal from package

Needle Guard deployed early/removal of Needle Cover

Needle Guard deployed late

Needle Guard undeployed

Unable to administer/No dose

Unable to administer/No drug coming out

Pack Broken/Malformed/Damaged- Carton

Pack Broken/Malformed/Damaged- TES

Broken/Malformed/Damaged- Tray

Pack Broken/Malformed/Damaged- Carton Dirty

Foreign Matter in the packaging

Instructions Difficult to Understand

Literature Missing/Damaged: Missing Literature

Literature Missing/Damaged: Damaged Literature

Missing Text/IFU

Incorrect text/IFU

Missing Text/PI

Incorrect text/PI

Pack Artwork:Missing Text/Carton

Pack Artwork:Incorrect text/Carton

Missing Pack Item/APFS

Missing Pack Item/Tray

Pack Mix Up/Lot numbers

Pack Mix Up/Lliterature

Pack Printing/Flawed text

Pack Printing/missing text

Pack Printing/unreadable text

Product Appearance/Air Bubbles

Product Appearance/Cloudiness

Product Appearance/Discoloration

Consistency/Solubility

Foreign matter inside the syringe

Different/wrong looking APFS

Incorrect color of Plunger Rod

Incorrect color of Needle Guard

Incorrect color of Finger Flange

Different/wrong looking APFS

Different/wrong looking APFS

Different/wrong looking APFS

Odor/Taste/Drug

Odor/Taste/Package Components

Pack/Other

Medical/Adverse Event

Medical/Product Tag Alert

Appearance, Packaging

Appearance, Device

Appearance, Drug

Warm Product

Missing Pack Item

Needle Damage/Malfunction

Activation prior to injection at cap removal

Activation prior to opening carton

Activation prior to injection, other

Slow Injection

Medication expels while holding down the device

Device lifts up or is lifted up before injection is complete

Injection starts or continues after lifting up device

Unable to insert needle into the skin

Medication observed at injection site after lifting up

No Click Heard

Appearance, Packaging

Appearance, Device

Appearance, Drug

Warm Product

Missing Pack Item

Needle Damage/Malfunction

Activation prior to injection at cap removal

Activation prior to opening carton

Activation prior to injection, other

Slow Injection

Medication expels while holding down the device

Device lifts up or is lifted up before injection is complete

Injection starts or continues after lifting up device

Unable to insert needle into the skin

Medication observed at injection site after lifting up

No Click Heard

Thank you for helping us to better understand the details.

Please provide information about the defect in the "Tell us about your complaint" section.

What address can the PQC acknowledgement letter be sent to?

Om personen som rapporterar en oönskad händelse har gett sitt samtycke till att bli kontaktad kan AstraZeneca vid behov komma att kontakta rapportören för att begära ytterligare information. Begäran om ytterligare information skickas via krypterad e-post via Mimecast-tjänsten.