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Österreich
Report Undesirable Effect

If your patient has encountered any side effect(s) to a CSL Behring product, we encourage you to report it.

If you would like to report the side effect(s) to CSL Behring, please provide the following information (only in english), or send an email to office.vienna@cslbehring.com:

* Required
CSL BEHRING PRODUCT INFORMATION
* Product name
Reason for taking the product
(indication of use)
Start date of application
End date of application
Lot number(s) associated with the effect
SIDE EFFECT DETAILS
Start date of side effect
End date of side effect
* Description of side effects
including any necessary treatment
PATIENT DETAILS
* Patient initials (first/last)
* Age of patient
Gender
YOUR INFORMATION
* Your name
Your relationship to the patient
Your country of residence
* Your contact information (phone or email)
Please enter the verification code *