Adverse Reaction Report Form for Pet Food and Feed Additives

Dear Practice Team,

you know your patients best — and that's exactly why your feedback is so valuable to us. If an animal shows adverse reactions after the use of an inuvet product, this report helps us continuously improve the quality and safety of our products. Please provide as much detail as possible — the more precise the information, the better we can understand what happened. If you have any questions, feel free to reach us anytime by phone or email. Thank you!

Asterisk (*) = required fields

Symptoms

Description of the adverse reaction *

Type, severity, clinical picture …

First occurrence *

End of symptoms (if resolved)

Time between administration and onset of symptoms

e.g. 30 min, 2 h, 1 day

Product and Treatment Details

Product name *

Package size / dosage form *

e.g. 250 ml, tablets

Batch or lot number *

You can find the batch number either on the outer packaging or on the bottom of the product.

Start of therapy *

Discontinuation of treatment (if applicable)

Dosage administered

e.g. 2 ml / kg body weight

Application frequency *

e.g. 2x daily

Route of application *

e.g. oral, topical, parenteral

Course of therapy

Course of application, particularities …

The Patient

Age *

e.g. 4 years

Name of the animal *

Species / breed

e.g. dog, labrador

Weight in kg

Sex of the animal

Female Male Female neutered Male neutered

Pre-existing conditions

Relevant medical history …

Known allergies / intolerances

Concomitant Medication

Products or measures applied in parallel

Product name, indication … at the time of symptom onset.

Dosage and application of concomitant medication

If applicable …

About You

Name of the practice *

Your name

Phone number

Email address *

I am * …

Veterinarian Veterinary Assistant (TFA) Other reporting person:

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