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) "4"
    ["edituser"] => string(11) "system-2022"
    ["input_time"] => string(10) "1693896357"
    ["create_time"] => string(10) "1693883568"
    ["update_time"] => string(10) "1729219052"
    ["custom_code"] => string(0) ""
    ["static_title"] => string(0) ""
    ["email"] => string(19) "adr@genscigroup.com"
    ["group"] => array(12) {
      [0] => array(1) {
        ["s1gtitle"] => string(49) "Human Growth Hormone for injection(Jintropin)"
      }
      [1] => array(1) {
        ["s1gtitle"] => string(57) "Recombinant Human Growth Hormone Injection(Jintropin)"
      }
      [2] => array(1) {
        ["s1gtitle"] => string(78) "Polyethylene Glycol Recombinant Human Growth Hormone Injection(Jintrolong)"
      }
      [3] => array(1) {
        ["s1gtitle"] => string(43) "Recombinant Human Follitropin for injection"
      }
      [4] => array(1) {
        ["s1gtitle"] => string(65) "Human Granulocyte Colony-Stimulating Factor injection(Scimax)"
      }
      [5] => array(1) {
        ["s1gtitle"] => string(48) "Octreotide Acetate for injection(Jintrotide)"
      }
      [6] => array(1) {
        ["s1gtitle"] => string(29) "Triptorelin Acetate injection"
      }
      [7] => array(1) {
        ["s1gtitle"] => string(75) "Human Granulocyte/Macrophage Colony-stimulating Factor Gel for External Use"
      }
      [8] => array(1) {
        ["s1gtitle"] => string(39) "Cetrorelix Acetate Powder for Injection"
      }
      [9] => array(1) {
        ["s1gtitle"] => string(39) "Recombinant Human Follitropin Injection"
      }
      [10] => array(1) {
        ["s1gtitle"] => string(33) "Megestrol Acetate Oral Suspension"
      }
      [11] => array(1) {
        ["s1gtitle"] => string(26) "Progesterone Injection(II)"
      }
    }
  }
  [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) "4"
    ["edituser"] => string(11) "system-2022"
    ["input_time"] => string(10) "1693885883"
    ["create_time"] => string(10) "1693883470"
    ["update_time"] => string(10) "1729219065"
    ["custom_code"] => string(0) ""
    ["static_title"] => string(0) ""
    ["email"] => string(18) "pv@genscigroup.com"
    ["group"] => array(2) {
      [0] => array(1) {
        ["s1gtitle"] => string(17) "Dienogest Tablets"
      }
      [1] => array(1) {
        ["s1gtitle"] => string(34) "Atomoxetine Hydrochloride Capsules"
      }
    }
  }
}

Suspected Drug*

Human Growth Hormone for injection(Jintropin)
Recombinant Human Growth Hormone Injection(Jintropin)
Polyethylene Glycol Recombinant Human Growth Hormone Injection(Jintrolong)
Recombinant Human Follitropin for injection
Human Granulocyte Colony-Stimulating Factor injection(Scimax)
Octreotide Acetate for injection(Jintrotide)
Triptorelin Acetate injection
Human Granulocyte/Macrophage Colony-stimulating Factor Gel for External Use
Cetrorelix Acetate Powder for Injection
Recombinant Human Follitropin Injection
Megestrol Acetate Oral Suspension
Progesterone Injection(II)
Dienogest Tablets
Atomoxetine Hydrochloride Capsules

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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