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Welcome! Please fill out and submit this form to report either (i) Suspected Adverse Medicine (Drug) Reactions, or (ii) Quality Issues of substandard, unregistered/unlicensed or falsified (SF) medical products to the CARPHA VigiCarib network. For SF products, patient information is not required. The submission of a report DOES NOT constitute an admission that health personnel caused or contributed to the adverse reaction or quality problem. For further information or assistance, contact us at 
VigiCarib Reporting Form - Confidential v2