Report an Adverse Event

Patients, caregivers, and healthcare professionals can use this form to report a suspected side effect, medication error, lack of effectiveness, or product-quality issue involving a Boston Oncology medicine.

You do not need to be certain that the medicine caused the event. Please provide as much information as you can. Our pharmacovigilance team may contact you if additional information is needed.

Every report contributes to the ongoing monitoring of the safety and quality of our medicines—and helps us fulfill our responsibilities to patients, healthcare professionals, and regulatory authorities.

Urgent safety notice

If you or someone else may require urgent medical attention, contact local emergency services or a healthcare professional immediately. The online reporting form is not an emergency service.

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    Is Drug Effective YesNo

    Is this report to inform about similarity between medication names, products, inappropriate, or missing and misleading information in packaging and labeling AND did not result in a medication error YesNo

    The incident related to product Namepackaging /labelingBoth

    How did you obtain the medication From the pharmacy with a prescriptionFrom the pharmacy without a prescriptionFrom other stores (not a pharmacy)

    Gender MaleFemale

    Additional Information (Optional)

    Suspected drugs info (optional)



    Patient information (optional)




    Product details (optional)





    Did you stop using the medication? YesNo

    Side effect (optional)


    Did you inform the doctor or pharmacist of these adverse event? YesNoUnknownIf Yes, Did he/she file an adverse event reporting form? YesNoUnknownCan we obtain further information from your treating physician YesNo

    Concomitant drugs (optional)





    Contact information (optional)



    Privacy Notice

    Boston Oncology will use the personal and health information submitted through this form to evaluate and follow up on the reported adverse event, product-quality concern, or other safety information; fulfill applicable pharmacovigilance obligations; and report information to regulatory authorities where required. Information may be shared, where necessary, with relevant Boston Oncology entities, authorized service providers, product partners, healthcare authorities, and regulatory agencies. This may involve processing or transferring information outside your country, subject to applicable legal safeguards. Records will be retained for the period required by applicable law and pharmacovigilance regulations. For more information about how Boston Oncology handles personal information, please review our Privacy Policy.