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Product Quality Complaint Report

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Product Quality Complaint Report

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  • Direct reporter
  • Initial reporter
  • Product information
  • Defect details
  • Additional information

Direct reporter

 

CSL Vifor takes the quality of our products very seriously. Help us to improve the quality of our products. If you have any complaints, please fill out this form with as much relevant information as possible and we'll get back to you as soon as we can.


 

Data privacy

In order to respond to your enquiry it is necessary to collect some personal information such as your name and contact details. If you have queries concerning personal data or data privacy, please see our dataprivacy policy.

 

Fields marked with * are mandatory

 

Direct reporter (your details)
 

Personal information

Contact information

Address

Initial reporter

Fields marked with * are mandatory  
 

Who is reporting?

Are direct reporter and initial reporter the same person?

Customer type

Personal information

Contact information

Address

Product information

Fields marked with * are mandatory  

Product details

Defect details

Fields marked with * are mandatory  

Defect information

Additional information

Fields marked with * are mandatory  

Adverse event details

Did an adverse event occur?
Drug administered?
Defective sample available?
One file only.
Allowed types: gif jpg jpeg png.
The accumulated size of all files in this form cannot exceed 1.91 MB.

Additional information

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BR-AVA-2500003 | Data de preparação: maio de 2025

Relato de eventos adversos


Para sanar dúvidas sobre produtos e reportar algum
relato de reações adversas/farmacovigilância, envie um
e-mail para tavneos@cslbehring.com ou contate o SAC 0800 600 8810.
A equipe está à disposição para sanar dúvidas e
prestar o atendimento necessário.
Outras dúvidas, envie um e-mail para tavneos@cslbehring.com

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