Adverse event report

If you become aware of adverse reactions resulting from administration of drug products manufactured by Avexima, please, fill in the adverse event report form provided below or inform us via e-mail: or by phone: +7 (495) 258 45 28.

Health provider or the other person reporting about AR

Information about the patient

Drug product (DP) that potentially caused AR

AR potentially associated with administration of drug product

Other drug products

1 The data will be treated as confidential and will be used for the sole purpose to ensure drug safety.

Consent to the processing of personal data