Infusion Reaction AESI Form

Infusion Reaction AESI Form 11-0062-F-V-1

200,00 $

The infusion Reaction Form includes 2 pages of detailed questions to healthcare professionals needed to assess case causality.

Document Description

The Infusion Reaction AESI Form asks the relevant questions for a medical assessment of the infusion reactions and potential relationship to the medicinal product including:

  • Patient information
  • Medication
  • Signs and symptoms
  • Laboratory measures
  • Relevant findings
  • Patient history
  • Risk factors

The form comes ready for use in your company.