Adverse Reaction Report Form - SellmerDiers
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An adverse reaction is a serious inadvertent adverse event, including a transmittable disease, that arises in the recipient or in the donor child in connection with the use of donor sperm.

According to the EU Tissues and Cells Directive and the Danish Vævslov suspected adverse reactions must be reported immediately to SellmerDiers.

We thank you for your cooperation.

Adverse Reaction Report Form

  • INFORMATION ABOUT THE PERSON REPORTING THE ADVERSE REACTION

  • INFORMATION ABOUT THE ORDER AND THE DONOR SPERM

  • Obtained from SellmerDiers when the order was placed
  • Unique donation number found on the sperm unit
  • INFORMATION ABOUT THE ADVERSE REACTION

  • Datumsformat:TT Schrägstrich MM Schrägstrich JJJJ
  • Akzeptierte Datentypen: word, pdf, jpeg, gif, tif.
Ich möchte Spender werden da ich den Familien helfen will, die keine Kinder bekommen können. Darüber hinaus gefällt mir der Gedanken einen Unterschied in der Welt machen zu können. Zitat von Robb
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