Send the downloaded and completed PDF form to the email address [email protected],
and the original by registered mail to the address:
US Pharmacia Sp. z o.o.
ul. Poleczki 35,
02-822 Warszawa
IMPORTANT! On the envelope, write: “ADVERSE DRUG REACTION”
Patient or their caregiver
Reporting an adverse reaction in oneself or an immediate family member. It can be done by legal or actual guardians and legal representatives of the person who experienced such a reaction.
A person performing a medical profession
Report of an adverse reaction in a patient. Form for doctors, dentists, pharmacists, pharmaceutical technicians, nurses, midwives, laboratory diagnosticians, paramedics, feldshers (senior feldshers).
Other ways to report adverse events
We also accept applications by phone. If you have any questions or concerns, please contact us:
Adverse effects can also be reported by contacting the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products