Adverse Event Report | Batnanpharma

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Reporter Name *

Email address

Phone / WhatsApp Number *

Animal Species *

Animal Age

Approximate Weight (kg)

Product Name *

Manufacturer

Batch / Lot Number

Expiry Date *

Reason for Use / Indication

Dose Administered

Route of Administration

Oral
Intramuscular (IM)
Intravenous (IV)
Subcutaneous (SC)
Topical
Intramammary
Ocular / Ophthalmic
Intrauterine
Other

Treatment Date

Treatment Duration / Number of Doses

Description of the Suspected Adverse Event *

Outcome of the Animal(s) *

Recovered
Recovering
Not Recoverd / Ongoing
Recoverd with sequelae
Died
Euthanized
Unknown
Other

Treatment / Action Taken After the Adverse Event *

Number of Animals Treated *

Number of Animals Affected *

Type of Report *

Suspected Adverse Event / Reaction
Product Quality Concern
Medication Erroe
Accidental Exposure
Other Safety Concern

Supporting Photos or Documents

Privacy & Confidentiality
Information submitted through this form will be handled confidentially and used for pharmacovigilance, safety assessment and appropriate follow-up. Relevant information may be shared with the responsible manufacturer or regulatory authority where required. Submission of a report does not establish that the product caused the reported event.

Consent *

I confirm that the information provided is accurate to the best of my knowledge and I consent to Batnan Pharmaceuticals using the information submitted for pharmacovigilance, safety assessment and appropriate follow-up.

Leave this field empty

If you are unable to submit an adverse event report through our online reporting form, or if internet access is unavailable, you may contact our Pharmacovigilance Team directly through any of the following numbers:

Dr. Ahmed Sharif
📞 +218 917104125

Dr. Awab Sirian
📞 +218 943658920

Mr. Esam Tayeb
📞 +218 945393747

These contact numbers are provided to ensure that adverse events, suspected adverse reactions, product quality issues, or other safety concerns related to our veterinary medicinal products can be reported without delay.

Batnan Veterinary Pharmaceuticals Company (BVP)
*Your report matters. Every report contributes to safer veterinary medicines.

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