{"id":5492,"date":"2015-06-17T09:29:38","date_gmt":"2015-06-17T09:29:38","guid":{"rendered":"http:\/\/test.faes.es\/farmacovigilancia\/farmacovigilancia-paciente\/"},"modified":"2019-12-17T16:43:05","modified_gmt":"2019-12-17T15:43:05","slug":"for-patients","status":"publish","type":"page","link":"https:\/\/faesfarma.com\/en\/pharmacovigilance\/for-patients\/","title":{"rendered":"For patients"},"content":{"rendered":"<p>If, after taking a drug product made by Faes Farma Group, you present a symptom that could be associated to taking this drug product, please consult with your doctor or pharmacist or if you wish to inform us, you may fill in the following form.<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f6925-o1\" lang=\"es-ES\" dir=\"ltr\" data-wpcf7-id=\"6925\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/5492#wpcf7-f6925-o1\" method=\"post\" class=\"wpcf7-form init 85f64ee8be99 cmatic-conn cmatic-aud-0 cmatic-mapd0-0 cmatic-v097803 cmatic-sent-0 cmatic-total-0\" aria-label=\"Formulario de contacto\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"6925\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"es_ES\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f6925-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:6925,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;repeater_remove_button&quot;:&quot;bottom&quot;}}\" \/>\n<\/div>\n<p>First Name *<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/p>\n\n<p>Last Name *<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-lastname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-lastname\" \/><\/span> <\/p>\n\n<p>Email *<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/p>\n\n<p>Age *<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"edad\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"edad\" \/><\/span> <\/p>\n\n<p>Sex<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"menu-297\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-297\"><option value=\"Male\">Male<\/option><option value=\"Female\">Female<\/option><\/select><\/span>\n\n<p>Country *<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"pais\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pais\" \/><\/span> <\/p>\n\n<p>Autonomous Community (only Spain)<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"comunidad\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"comunidad\" \/><\/span> <\/p>\n\n<p>Name of the drug product*<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"nombre_medicamento\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nombre_medicamento\" \/><\/span> <\/p>\n\n<p>Reason for taking the drug product<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"motivos\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"motivos\"><\/textarea><\/span> <\/p>\n\n<p>Comments<br \/>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"comentarios\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"comentarios\"><\/textarea><\/span> <\/p>\n\n<span id=\"wpcf7-6a08f73fb4279-wrapper\" class=\"wpcf7-form-control-wrap extension-empleado-554-wrap\" style=\"display:none !important; visibility:hidden !important;\"><label for=\"wpcf7-6a08f73fb4279-field\" class=\"hp-message\">Por favor, deja este campo vac\u00edo.<\/label><input id=\"wpcf7-6a08f73fb4279-field\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"extension-empleado-554\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"new-password\" \/><\/span>\n\n<h4>Privacy Policy<\/h4>\n<p>In compliance with the provisions of Organic Law 15\/1999 on protection of personal data (LOPD), the Pharmacovigilance Unit of FAES informs you that your personal data may be included into a file owned by FAES FARMA, S.A. and as far as the information complies with the provisions of Royal Decree (RD) 577\/2013 of 26 July, which regulated Pharmacovigilance of drugs for human use, the data will be used exclusively to comply with said activity regarding the management of adverse events\/adverse reactions. We inform you that you may at any time exercise your rights to access, rectify, cancel and oppose your personal data as established by law, by writing to FAES FARMA, S.A. (Pharmacovigilance Unit), Avenida Autonomia 10, 48940, Leioa. Bilbao, Spain, or by sending an email to: drugsafety@faes.es.<\/p>\n\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-763\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"checkbox-763[]\" value=\"Accept\" \/><span class=\"wpcf7-list-item-label\">Accept<\/span><\/span><\/span><\/span>\n\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/><\/p><input type=\"hidden\" id=\"ct_checkjs_cf7_58238e9ae2dd305d79c2ebc8c1883422\" name=\"ct_checkjs_cf7\" value=\"0\" \/><script >setTimeout(function(){var ct_input_name = \"ct_checkjs_cf7_58238e9ae2dd305d79c2ebc8c1883422\";if (document.getElementById(ct_input_name) !== null) {var ct_input_value = document.getElementById(ct_input_name).value;document.getElementById(ct_input_name).value = document.getElementById(ct_input_name).value.replace(ct_input_value, '1590919394');}}, 1000);<\/script><input\n                    class=\"apbct_special_field apbct_email_id__wp_contact_form_7\"\n                    name=\"apbct__email_id__wp_contact_form_7\"\n                    aria-label=\"apbct__label_id__wp_contact_form_7\"\n                    type=\"text\" size=\"30\" maxlength=\"200\" autocomplete=\"off\"\n                    value=\"\"\n                \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>If, after taking a drug product made by Faes Farma Group, you present a symptom that could be associated to taking this drug product, please consult with your doctor or pharmacist or [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":5455,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/template_static_text.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-5492","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/faesfarma.com\/en\/wp-json\/wp\/v2\/pages\/5492"}],"collection":[{"href":"https:\/\/faesfarma.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/faesfarma.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/faesfarma.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/faesfarma.com\/en\/wp-json\/wp\/v2\/comments?post=5492"}],"version-history":[{"count":0,"href":"https:\/\/faesfarma.com\/en\/wp-json\/wp\/v2\/pages\/5492\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/faesfarma.com\/en\/wp-json\/wp\/v2\/pages\/5455"}],"wp:attachment":[{"href":"https:\/\/faesfarma.com\/en\/wp-json\/wp\/v2\/media?parent=5492"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}