Adverse Drug Reaction (ADR) Reporting

  • 1.What is an adverse reaction?

    An adverse drug reaction (ADR) refers to a noxious response to an approved drug that occurs at normal doses during proper use and is not related to the drug’s intended therapeutic purpose. An ADR is not equivalent to a quality issue with the drug.

  • 2.Why are adverse events being reported?

    GenSci has established multiple channels to continuously monitor the safety of our products. By reporting adverse events/reactions related to GenSci products, you contribute to our ongoing effort to refine our product safety features and ensure patient medication safety.

  • 3.How to report an adverse event?

    If you experience an adverse event, you should consult a doctor promptly. Please complete the adverse event/reaction reporting form and you may also report adverse events/reactions by calling the hotline provided in the package insert. Thank you for reporting the adverse events/reactions! We wish you and your family good health!

  • 4.Privacy Statement

    GenSci will adhere to privacy laws and ensure the confidentiality of you and the information you provide. Please be rest assured when providing your information!

Patient Information

Name*

Gender*

Male
Female

Date of Birth*

Prescription Hospital*

Reason for Medication*

Suspected Drug Information
array(2) {
  [0] => array(25) {
    ["id"] => string(1) "2"
    ["catid"] => string(3) "121"
    ["title"] => string(36) "长春金赛药业有限责任公司"
    ["thumb"] => array(2) {
      ["thumb"] => string(0) ""
      ["alt"] => string(0) ""
    }
    ["keywords"] => string(0) ""
    ["description"] => string(0) ""
    ["content"] => string(0) ""
    ["url"] => string(0) ""
    ["count"] => string(1) "0"
    ["sort"] => string(1) "0"
    ["command"] => string(1) "0"
    ["isdel"] => string(1) "0"
    ["free"] => string(1) "0"
    ["status"] => string(1) "1"
    ["uid"] => string(1) "1"
    ["username"] => string(9) "supertech"
    ["euid"] => string(1) "1"
    ["edituser"] => string(9) "supertech"
    ["input_time"] => string(10) "1693896357"
    ["create_time"] => string(10) "1693883568"
    ["update_time"] => string(10) "1714442285"
    ["custom_code"] => string(0) ""
    ["static_title"] => string(0) ""
    ["email"] => string(20) "adr@gensci-china.com"
    ["group"] => array(10) {
      [0] => array(1) {
        ["s1gtitle"] => string(36) "Somatripin(rDNA origin)for Injection"
      }
      [1] => array(1) {
        ["s1gtitle"] => string(32) "Somatropin(rDNA origin)Injection"
      }
      [2] => array(1) {
        ["s1gtitle"] => string(62) "Polyethylene Glycol Recombinant Human Growth Hormone Injection"
      }
      [3] => array(1) {
        ["s1gtitle"] => string(43) "Recombinant Human Follitropin for Injection"
      }
      [4] => array(1) {
        ["s1gtitle"] => string(53) "Human Granulocyte Colony Stimulating Factor Injection"
      }
      [5] => array(1) {
        ["s1gtitle"] => string(39) "Cetrorelix Acetate Powder for Injection"
      }
      [6] => array(1) {
        ["s1gtitle"] => string(29) "Triptorelin Acetate Injection"
      }
      [7] => array(1) {
        ["s1gtitle"] => string(88) "Human Granulocyte/Macrophage Colony-stimulating Factor Hydro-gel For Topocal Application"
      }
      [8] => array(1) {
        ["s1gtitle"] => string(39) "Cetrorelix Acetate Powder for Injection"
      }
      [9] => array(1) {
        ["s1gtitle"] => string(38) "Water solubility Progesterone Receptor"
      }
    }
  }
  [1] => array(25) {
    ["id"] => string(1) "1"
    ["catid"] => string(3) "121"
    ["title"] => string(39) "北京金赛增医疗科技有限公司"
    ["thumb"] => array(2) {
      ["thumb"] => string(0) ""
      ["alt"] => string(0) ""
    }
    ["keywords"] => string(0) ""
    ["description"] => string(0) ""
    ["content"] => string(0) ""
    ["url"] => string(0) ""
    ["count"] => string(1) "0"
    ["sort"] => string(1) "0"
    ["command"] => string(1) "0"
    ["isdel"] => string(1) "0"
    ["free"] => string(1) "0"
    ["status"] => string(1) "1"
    ["uid"] => string(1) "1"
    ["username"] => string(9) "supertech"
    ["euid"] => string(1) "1"
    ["edituser"] => string(9) "supertech"
    ["input_time"] => string(10) "1693885883"
    ["create_time"] => string(10) "1693883470"
    ["update_time"] => string(10) "1714442300"
    ["custom_code"] => string(0) ""
    ["static_title"] => string(0) ""
    ["email"] => string(19) "pv@gensci-china.com"
    ["group"] => array(1) {
      [0] => array(1) {
        ["s1gtitle"] => string(17) "Dienogest Tablets"
      }
    }
  }
}

Suspected Drug*

Somatripin(rDNA origin)for Injection
Somatropin(rDNA origin)Injection
Polyethylene Glycol Recombinant Human Growth Hormone Injection
Recombinant Human Follitropin for Injection
Human Granulocyte Colony Stimulating Factor Injection
Cetrorelix Acetate Powder for Injection
Triptorelin Acetate Injection
Human Granulocyte/Macrophage Colony-stimulating Factor Hydro-gel For Topocal Application
Cetrorelix Acetate Powder for Injection
Water solubility Progesterone Receptor
Dienogest Tablets

Drug Marketing Authorization Holder*

Batch Number/Strength*

Name of Adverse Reaction
Reporter Information

Reporter*

Reporter Contact Information*

  • Doctor

  • Pharmacist

  • Patient/Patient’s Family

  • Nurse

  • Other

Verification Code*

I have read and agree to GenSci’s Privacy Policy

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