Form 3500A MedWatch

Electronic Submission of FDA Adverse Event Reports and Other Safety Information Using the Electronic Submission Gateway and the Safety Reporting Portal

FDA FORM 3500A 9-15-14

Voluntary Adverse Event Reporting via the SRP

OMB: 0910-0645

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0910-0645 can be found here:

2021-09-14 - No material or nonsubstantive change to a currently approved collection
2020-05-14 - No material or nonsubstantive change to a currently approved collection

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File Type	application/pdf
File Title	FORM FDA 3500A
Subject	MEDWATCH - for Mandatory Reporting
Author	PSC Publishing Services
File Modified	2014-09-15
File Created	2013-12-13