Report a side effect – cosmetic product

​​​Fields marked with an asterisk (*) are mandatory.
Please complete the form below to report a side effect (also known as an undesirable effect).

The HPRA operates the national system for recording and reporting details of suspected adverse reactions occurring in Ireland. Please see full details of how personal data is processed in this area.

  1. Reporter information
  2. Patient information
  3. Product details
  4. Details of reaction
  5. Photos & files
  6. Preview & submit

Reporter information