Vigilance form

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You are notifying an adverse event/situation involving a medical drug. A person in charge of vigilance at Pierre Fabre will handle your notification and she/he may contact you.

If you have any questions about your state of health, please consult your physician.

 

Contact person
Information on the exposed patient
Prescription product concerned
Describe adverse reaction(s)

 

All information and personal data you share with us through this form will be protected and kept confidential in accordance with our company policy and applicable regulations.

The data collected about you will be processed electronically by Pierre Fabre SA, in compliance with the General Data Protection Regulation (GDPR) of 27 April 2016, for the purpose of monitoring the tolerability of our products and may be shared with health authorities, as the processing of your personal data is necessary to comply with a legal obligation to which Pierre Fabre is subject.

Please note that this data will be stored for a maximum period of 50 years.

As the processing of your data is necessary to comply with a legal obligation, you have the right to access, rectify, and restrict the processing of your personal data. You can exercise these rights by contacting us at dpofr@pierre-fabre.com.

You have the right to lodge a complaint with your national supervisory author.

 

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