Pharmacovigilance form

GUIDE TO THE FORM
NOTIFICATION OF DIATER SRA
NOTIFICATION FORM
SUSPECTED ADVERSE REACTION
DESCARGAR FOLDER DESCARGAR FOLDER

 

 

 

From the Pharmacovigilance Department of Diater, Laboratorio de Diagnóstico y Aplicaciones Terapéuticas S.A. (DIATER) and in compliance with the legal obligations regarding suspected adverse reactions (SAR) of which Diater is informed, we request you to provide us with the relevant personal data for the correct assessment and follow-up of the SAR after treatment with one of our medicinal products. In compliance with healthcare standards and the Spanish Personal Data Protection Act (LOPD), the personal data with which we are provided will be added to DIATER’s pharmacovigilance file for the management of the SAR which you inform us of, for the notification of the SAR by DIATER to the Healthcare Authorities, if applicable, and for the follow-up of said notification, if applicable.

We remind you that, in compliance with healthcare standards and data protection, you should not communicate data which allow the identification of the patient. You should only provide the following types of data: date of birth, age, sex, weight and/or height of the patient. Under no circumstances should you provide the name and surname or initials.

You can exercise your rights to access, rectify, cancel and oppose your data by writing to the following address: Diater Laboratorios S.A., Avda. Gregorio Peces Barba, 2- Parque Tecnológico de Leganés- 28918 Leganés, Madrid

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CONTACT US FILLING THE FORM

We hereby inform you that the personal data submitted by you shall be processed by GRUPO FERRER INTERNACIONAL S.A., whose registered address is at Av. Diagonal 549, 5ª planta, 08029, Barcelona (Spain), so that it may maintain and handle its relations with you, as well as to respond to any queries you may submit to us. 

Your personal data shall be stored for 1 year since you submitted your first query.

All personal data processed is based on you having given your consent to do so. You are reminded that you may withdraw your consent at any time.

You may exercise your rights of access, rectification, erasure, restriction of processing, portability of data, as well as to submit any queries or suggestions in respect of the processing of personal data by writing to the Data Protection Officer using any of the following means, along with a copy of your ID document or other means of identification:

(i) By email to lopd@ferrer.com.

(ii) By post addressed to GRUPO FERRER INTERNACIONAL S.A. Av. Diagonal nº 549, 5ª planta, 08029, Barcelona.

You are entitled to submit complaints to the Spanish Data Protection Agency (AEPD), the competent authority on data protection matters by writing a letter to its central offices.

Link to the privacy policy

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CONTACT US

914 96 60 13
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