Welcome to the Adverse Event Reporting Website

If you know that a patient has experienced or is experiencing adverse events after using Junshi products, please follow the following steps to fill in the adverse event reporting form:

Adverse Event Reporting
First step: Reporter Information
*Required Field
*A Telephone or E-mail is required
In order to obtain professional medical records, do you agree that Junshi contacts your doctor for further information? If you agree, please add the doctor's contact information (including doctor's name, hospital, department, telephone number and email address).
Patient Information
*Required Field
Adverse Event
*Required Field
不良事件
Adverse Event Adverse EventStart Date Adverse EventStop Date Outcome of Adverse Event  
Product Information
*Required Field
Product Information
产品名称 适应症 使用剂量 使用频率 批号 用药起始日期 停药日期 产品类型  
Additional Information
*Required Field
Please describe the AE process including occurrence, development, symptoms, vital signs, clinical treatment, relevant laboratory tests, image examination results, etc.