Report an Adverse Event

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Reporting a potential side effect:

If you have experienced a potential side effect on a BeiGene product, report them here.

When a patient experiences something unexpected, harmful or negative while taking a medicine, this is called a side effect (also sometimes referred to as an Adverse Event).

An adverse event (AE) is any untoward medical occurrence in a patient or clinical trial subject administered a medicinal product and which does not necessarily have a causal relationship with this treatment.

An adverse event (AE) can therefore be any unfavorable and unintended sign, symptom or disease temporarily associated with the use of a medicinal product (e.g., BeiGene study drug, or marketed medicinal product distributed by BeiGene), whether or not considered related to the medicinal product.

Examples of potential side effects/adverse events include:

  • Headache
  • Nausea (feeling sick)
  • Vomiting

Even if you don’t know what caused the potential side effect or if you suspect that it was not caused by the medicine, the potential side effect still needs to be reported.

Privacy Notice

BeiGene is committed to protecting your privacy and personal data. We will use the personal information you provide for purposes of meeting our regulatory obligation to track and report adverse events and product complaints. We may reach back out to you for additional information, if needed.

In order to meet this obligation, BeiGene may need to transfer your personal data to BeiGene’s affiliates, the vendors assisting with the process, BeiGene’s development partners and regulatory authorities around the world. They may be located in countries where the level of protection of personal data may not be comparable to that of your country. We will adopt adequate safeguards to protect your personal data.

For more information about how we use and protect your personal data and information on your rights, please see our Adverse Event Privacy Policy at: https://beigene.com/privacy-policy.

Thank you for reporting a potential side effect from a BeiGene product. Please complete this short form. Fields marked with an * are required. The data provided will be stored in accordance with data privacy regulations.
Can you let us know if this is the first time you are providing this data, or have you provided the same or similar data to us before (this helps us keep track of the information)? *
Who are you?

Reporter

Please provide us some details about yourself.
Do we have permission to contact you for further information? *

Patient

*Please complete at least one of the fields shown below.
Patient's initials
Patient's date of birth*
Patient’s gender at birth*

Problem/Adverse Event
Was the patient hospitalized or was a hospitalization prolonged due to the event?
What was the outcome of the event or the most severe event?

What were the outcomes of any other events, excluding the most severe event mentioned above?

Please specify the respective outcome of each event if you or the patient experienced multiple events. You may use numbers to indicate the corresponding outcomes.

1 - Recovered

2 - Recovered with lasting effects

3 - Recovering

4 - Not Recovered

5 - Unknown

6 - Fatal (Providing the date and cause of death would be very helpful)

Product
Can you tell us more about whether you or the patient are still taking the medication? Please select the best option from the list below.
Product expiration date
Do you or your treating physician consider the potential side effects to be caused (or related) to the product?

Additional Information
Are you/the patient taking any other medication?
Please use the designated country-specific email addresses listed below exclusively for reporting adverse events or side effects via email. These mailboxes are strictly for adverse event/side effect reports only. For all other types of reports, please use the Contact Us page.
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