Report a serious adverse reaction/event – tissues and cells

Fields marked with an asterisk (*) are mandatory.
• Please do not include any information that would identify the patient, healthcare professional, or other individuals involved. Donor, recipient and staff names (other than the reporter), are not required, and this information should be anonymised.
• Additional information may be provided in attachments, please ensure that the report identification number is included on any attachments.
• A Guide to Reporting Serious Adverse Reactions (SAR) and Serious Adverse Events (SAE) Associated with Human Tissues and Cells is available in the safety section of the HPRA website.

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.

Reporter information
SAE or SAR details
Implicated tissue or cells
Details and categorisation
Preview and submit

Reporter information

Title

First name

Surname

Organisation/Establishment

Department

Address line 1

Address line 2

Address line 3

City

County

Eircode

Telephone

Mobile

Confirm email

Reporter type

Other (specify)