药品不良反应/事件报告表
声明：此报告将根据国家要求上报"药品上市许可持有人药品不良反应直接报告系统"，请提供真实信息，必要时我公司会安排专业人员与您联系，为您提供服务与支持。
- 口服
- 静脉注射
- 肌肉注射
- 皮下注射
- 皮内注射
- 其他
目前不适症状结果
*
必填字段
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