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Medication feedback

Name of drug user:
Gender:
Male
Female
Age:
Place of residence
Please select
Beijing
Tianjin
Please select
Beijing
Tianjin
Address
Tel
Primary disease
Name of combined medication
Report Category
Please select
First report
Follow up report
Severity of adverse reactions
Please select Severity of adverse reactions
Same as
Serious
Death
Report type
Please select report type
New
Known number
Patient medication name
Please select Patient medication name
Shenzhi Capsule
Epilepsy plain film
Nordicam Capsules
Nordicam Granules
Puyu Capsules
Cleansing tablets
Shiwei Tida Capsules
Anti-inflammatoryantipyretic granules
Childrens Shuangqing Granules
Snow Mountain Gold Arhat Pain Relieving Paint
Zhiqing Capsules
Recombinant human brain natriuretic peptide for injection
Adverse reaction name
Thin sloppy stool
Diarrhea
Other
Adverse reaction occurrence time
The first time the report was learned
Adverse reaction results
Please select Adverse reaction results
Heal
Take a turn for the better
Not improving
Not quite clear
Having sequelae
Death
Does the withdrawal or reduction reaction disappear or alleviate
Please select Does the withdrawal or reduction reaction disappear or alleviate
Yes
No
Unknown
No discontinuation or reduction of medication
Impact on the original disease
Please select Impact on the original disease
Not obvious
Prolonged course of disease
Exacerbation
Causing sequelae
In death
Relevance evaluation
Please select Relevance evaluation
Sure
Like as not
Possible
Perhaps unrelated
To be evaluated
Unable to evaluate
Usage and dosage
Description of Adverse Reaction Process
Code
Submit

Link:

Shanghai SynForce Biotechnology Co., Ltd.

Address: No. 3, Guangzhou Road, Zone A, Lhasa Economic and Technological Development Zone, Tibet

Tel: 0891-6836521

E-mail: master@xzyy.cn