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Reporter Type

Reporter Type
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If you are reporting about your own suspected reactions to a medicine and you are a healthcare professional, please fill in the 'reporter type' as healthcare professional.

Please use this reporting form to report any side effects experienced or any concerns about the safety or quality of an e-cigarette or e-liquid. If you wish to report non compliance of a product with the regulations, please email your concerns to TPD.safety@mhra.gov.uk.

Contact Email

Please note this email address has previously been registered with the Yellow Card site, you can login here. Logging in will save you time and you can then keep a track of submitted reports.

Please provide an email address to receive notifications about your submission.

1. Reporter Details

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Contact Method

Contact Method

Address

Address

Telephone Number

Telephone Number

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Form actions Step 1. Reporter Details