Reporting a side effect or product complaint

Drug safety (pharmacovigilance) is of paramount importance to Accord and something we take very seriously. If you think that you or your patient has suffered an adverse event (side effect) with an Accord product, or you would like to report a Product Quality Complaint, we would ask that you report as much information as you can using the form below. Any information you can provide is invaluable for continued patient and drug safety. If you are outside of the UK please go to our Global site to report a side effect or product complaint.

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Who is reporting?

First name of reporter

Last name of reporter

Email address of reporter

Phone number of reporter

Address of reporter

Patient age

Patient date of birth dd/mm/yyyy

Patient initials

Patient gender assigned at birth

Product details

Name of product (name, strength, pharmaceutical form)

Accord branded product?

Side effect/Product Quality Complaint details

What is the product prescribed to treat?

Batch number

Batch expiry date

Product Licence number (MA Number)

Has this been reported via the Yellow Card Scheme to the MHRA?

Any other comments?

Please confirm if you reside in Great Britain or Northern Ireland.

If you do not wish to be contacted, please click this box

By reporting a side effect, quality complaint or medical query, you hereby understand that Accord Healthcare Ltd. (Sage House, 319 Pinner Road, North Harrow, Middlesex, HA1 4HF, London, United Kingdom), as data controller, will process your personal data submitted in this form and/or otherwise provided by you to us (i) in accordance with applicable laws and our Cookies and Privacy Policy and (ii) for the purposes of complying with the legal obligation of monitoring the safety of medicines and for responding to medical information queries.
Your personal data (including, but not limited to, sensitive personal data) may be transferred outside the European Economic Area (“EEA”), including but not limited to Intas Pharmaceuticals Ltd. (India) and other group members and their respective processors located in India. To check our group members please visit the specific section in our website. While some group members are located in countries (such as India) with laws that (according to the European Commission) do not offer the same level of protection to personal data as that granted by EEA countries, Accord Healthcare S.L.U. has adopted the necessary state of the art security measures to prevent unauthorized and unlawful use of personal data and has adopted the necessary legal measures (in particular, the latest version of the standard contractual clauses).
At any time and subject to applicable laws, you may exercise the rights of access, rectification, cancellation, opposition and revoke your consent granted by contacting our data protection officer at EMENA_Compliance@accord-healthcare.com

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Reporting a side effect or product complaint

Form status and ID

Product details