On-line form

Information of the person submitting the report:

By clicking 'submit', you authorize Productos Farmacéuticos S.A. C.V. to contact you to request additional information about your report.

This form is made in compliance with NOM-220-SSA1-2016, installation and operation of pharmacovigilance. The information provided is confidential. The data requested will be treated in accordance with the Federal Law for the Protection of Personal Data in Possession of Individuals and other applicable provisions.

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