Reporter Details/ (रिपोर्टर विवरण)

Patient Details/ (रोगी विवरण)

Suspect Drug Details/ (संदिग्ध दवा विवरण)

Adverse Event Details/ (प्रतिकूल घटना विवरण)

Note :

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You may also send us Adverse Event Information by filling the below forms and sending the same to the address mentioned below
Vaccine Products

  • Address: 33, 1st Floor, Royal Status, Sir Bhalchandra Road, Dadar (E), Mumbai – 400014.
  • Email:
  • Call us at Toll free no- 1800 309 0896