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src="https://www.youtube.com/embed/6QGBHQfg52Y"> </iframe> </div> </div> <p> </p> <hr><a href="/media/85598/download"> <div alt="MedWatch Form 3500B English" data-embed-button="media_browser" data-entity-embed-display="media_image" data-entity-embed-display-settings="Array" data-entity-type="media" data-entity-uuid="f8cf0a50-a79e-4c99-964a-5cff4e47d86a" data-langcode="en" title="MedWatch Form 3500B English" class="align-right embedded-entity"> <img loading="lazy" src="/files/MedWatch%20Form%20ENG%202023.jpg" alt="MedWatch Form 3500B English" title="MedWatch Form 3500B English" class="img-responsive"> </div> <p><a class="btn btn-default btn-sm" data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="8829ffd7-7eac-4e14-a403-bc28c2f90f75" href="/fda-en-espanol/reporte-problemas-serios-la-fda" title="Reporte problemas serios a la FDA">Español</a> </p> <p>MedWatch is the Food and Drug Administration's (FDA) program for reporting serious reactions, product quality problems, therapeutic inequivalence/failure, and product use errors with human medical products, including drugs, biologic products, medical devices, dietary supplements, infant formula, and cosmetics. </p> <p align="left">If you think you or someone in your family has experienced a serious reaction to a medical product, you are encouraged to take the reporting form to your doctor. Your health care provider can provide clinical information based on your medical record that can help FDA evaluate your report. </p> <p align="left">However, we understand that for a variety of reasons, you may not wish to have the form filled out by your health care provider, or your health care provider may choose not to complete the form. Your health care provider is NOT required to report to the FDA. In these situations, you may complete the Online Reporting Form yourself. </p> <p><strong>Voluntary Reporting by Consumers, Patients and Health Professionals</strong> </p> <p>In order to keep effective medical products available on the market, the FDA relies on the voluntary reporting of these events. FDA uses these data to maintain our safety surveillance of these products. Your report may be the critical action that prompts a modification in use or design of the product, improves its safety profile and leads to increased patient safety. </p> <p>If the link to the PDF voluntary reporting form (below) does not automatically open the form in your browser, try installing the latest version of the free <a href="/viewing-files" target>Adobe Acrobat Reader</a>. </p> <div class="lcds-datatable lcds-datatable--ckeditor"> <table class="table table-striped" data-info="false" data-ordering="false" summary="Links to MedWatch forms"> <thead> <tr> <th scope="col" style="width: 50%">For Use By </th> <th scope="col" style="width: 50%">Form </th> </tr> </thead> <tbody> <tr> <td> <p><strong>Health Professionals, Patients, and Consumers</strong> <br> Easy online, voluntary reporting for health professionals, patients, and consumers. </p> </td> <td><a class="btn btn-info" href="https://www.accessdata.fda.gov/scripts/medwatch/index.cfm?action=reporting.home">Online Reporting Form</a> </td> </tr> <tr> <td> <p><strong>Health Professionals</strong> <br> For use by health professionals, consumers, and patients. <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="774cee16-0ae9-46fa-98f7-f946912ef2a8" href="/safety/medwatch-forms-fda-safety-reporting/instructions-completing-form-fda-3500" title="Instructions for Completing Form FDA 3500">Instructions for Completing Form FDA 3500</a> </p> </td> <td> <p><a href="/media/76299/download">Form FDA 3500 - Voluntary Reporting<strong> </strong></a>(pdf) </p> </td> </tr> <tr> <td> <p><strong>Patients and Consumers</strong> <br> A consumer-friendly version of the 3500 reporting form. </p> </td> <td> <p><a href="/media/85598/download">Form FDA 3500B for Consumer Reporting</a><strong> </strong>(pdf) </p> </td> </tr> <tr> <td> <p><strong>Industry (Mandatory)</strong> <br> Reporting by IND reporters, manufacturers, distributors, importers, user facilities personnel. </p> </td> <td> <p>These particular reports must be submitted in an electronic format that FDA can process, review, and archive. See the guidance for industry “<a href="/media/71176/download" target>Providing Submissions in Electronic Format —Postmarketing Safety Reports”</a>. </p> </td> </tr> <tr> <td> <p><strong>Pacientes y consumidores</strong> <br> Para uso de pacientes y consumidores. </p> </td> <td> <p><a href="/media/122470/download">Form FDA 3500b - Denuncia Voluntaria del Consumidor FORMULARIO FDA 3500B</a><strong> </strong>(pdf) </p> </td> </tr> <tr> <td class="text-align-center"><strong>Regulated Medical Product </strong> </td> <td class="text-align-center"><strong>Website</strong> </td> </tr> <tr> <td> <p><strong>Tobacco, Cigars, E-cigarettes/Vaping and Chewing Tobacco</strong> <br> For use by health professionals, consumers, and patients. </p> </td> <td> <p><a href="https://www.safetyreporting.hhs.gov/SRP2/en/Home.aspx?sid=00351cb2-c813-45a9-bafc-74d63dea3413">Safety Reporting Portal</a> </p> </td> </tr> <tr> <td><strong>Vaccines</strong> <br> For use by health professionals, consumers, and patients. </td> <td><a class="btn btn-info" href="https://vaers.hhs.gov/esub/index.jsp"><span class="text">Vaccine Online Reporting</span></a> </td> </tr> <tr> <td> <p><strong>Animal Food, Drugs and Devices</strong> <br> For use by industry, veterinarians and animal owners. </p> </td> <td><a href="/animal-veterinary/safety-health/report-problem">Report a problem with an animal or veterinary product</a> </td> </tr> </tbody> </table> </div> <h2>Related Information for Consumers </h2> <ul> <li>If you need information or if you have questions or comments about a medical product, please call the FDA's toll-free information line, <strong>1-888-INFO-FDA (1-888-463-6332)</strong> Press 2 to report into MedWatch or for instructions.</li> </ul> <h2>Guides to Reporting Problems to FDA </h2> <ul> <li><a href="http://www.accessdata.fda.gov/scripts/MedWatchLearn/" target="_blank">MedWatch<em>Learn</em></a> - Teaching students, health professionals, and consumers how to report problems to FDA</li> <li><a href="/consumers/consumer-updates/fda-101-how-use-consumer-complaint-system-and-medwatch">FDA 101: How to Use the Consumer Complaint System and MedWatch</a> </li> </ul> <h2>Videos </h2> <ul> <li><a href="https://www.youtube.com/watch?v=6QGBHQfg52Y">MedWatch Minute for Consumers</a></li> <li><a href="https://www.youtube.com/watch?v=bsr3XZ5hRLo">Minuto de MedWatch para los consumidores</a></li> <li><a href="https://www.youtube.com/watch?v=027N-gd1T1c ">MedWatch Minute for Health Care Professionals</a></li> </ul> <ul> </ul> <h2>Resources For You </h2> <ul> <li><a href="/safety/reporting-serious-problems-fda/where-send-completed-form-fda-3500a-mandatory-reporting-form">Where to Send Completed Form FDA 3500A MANDATORY Reporting Form</a></li> <li><a href="/safety/reporting-serious-problems-fda/drugbiologichuman-cell-tissues-and-cellular-and-tissue-based-product-manufacturers-distributors-and">Drug/Biologic/Human Cell, Tissues and Cellular and Tissue-Based Product Manufacturers, Distributors, and Packers</a></li> <li><a href="/vaccines-blood-biologics/report-problem-center-biologics-evaluation-research/human-cell-tissue-products-hctp-adverse-reaction-reporting">Human Cell & Tissue Products (HCT/P) Adverse Reaction Reporting</a></li> <li><a href="/safety/reporting-serious-problems-fda/hipaa-compliance-reporters-fda-medwatch">HIPAA Compliance for Reporters to FDA MedWatch</a></li> </ul> </a><br> <br> </div> <aside class="col-md-2 col-md-push-2" role="complementary"> <section id="block-entityviewcontent-4" data-block-plugin-id="entity_view:node" class="block block-ctools block-entity-viewnode clearfix"> <div class="region region-"> <aside class="lcds-card lcds-card--border-top" > <ul role="menu" class="lcds-description-list"> <li role="menuitem" class="node-current-date lcds-description-list__item"> <div> <h2 class="lcds-description-list__item-heading">Content current as of:</h2> <p class="lcds-description-list__item-text"><time 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js-view-dom-id-e292e1f41e80c4afe5c25593a1ad4a2ea6591936555ec6e4839fd8b3d722ebc8"> <div class="item-list"> <ul class="lcds-section-nav__active lcds-section-nav__list lcds-section-nav--side__list"> <li><a href="/safety/reporting-serious-problems-fda/what-serious-adverse-event" class="lcds-section-nav__link lcds-section-nav--side__link">What is a Serious Adverse Event?</a></li> <li><a href="/safety/reporting-serious-problems-fda/product-problems" class="lcds-section-nav__link lcds-section-nav--side__link">Product Problems</a></li> <li><a href="/safety/reporting-serious-problems-fda/reporte-problemas-serios-la-fda" class="lcds-section-nav__link lcds-section-nav--side__link">Reporte problemas serios a la FDA</a></li> <li><a href="/safety/reporting-serious-problems-fda/que-es-una-reaccion-adversa-grave" class="lcds-section-nav__link lcds-section-nav--side__link">¿Qué es una reacción adversa grave?</a></li> <li><a href="/safety/reporting-serious-problems-fda/problemas-con-los-productos" 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