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Report adverse drug reactions and incidents with medical devices

For patients

Report adverse drug reactions 

The State Agency of Medicines (SAM) invites patients to use medicines according to the recommendations issued by the healthcare professionals or pharmacists, as well as the instructions provided in the package leaflet. If you or someone close to you suspect a potential adverse (drug) reaction while using medicines, please fill out the Patient Report form, as well as consult with your doctor for recommendations regarding further medicinal product usage.

Patients may submit adverse drug reaction reports in electronic and paper format (in Latvian).

  • Electronic submission is ensured by selecting the report e-form below.

          reports ADR

  • You may download the form in paper format here – PDF format or MS Word format. A signed paper form must be sent to SAM via mail (address: Jersikas iela 15, Riga, LV-1003).

If you require specialist assistance in order to complete the form, please call: +371 67078400.

 

Report incidents with medical devices 

Vigilance signal report form must be submitted to the State Agency of Medicines (SAM) after any incident or potential incident related to the use of a medical device that has resulted in or may result in death or serious harm to the health of a patient, user or third person.

Please report electronically using Vigilance signal report form for patients (in Latvian) and sending the report to the following SAM e-mail address: info@zva.gov.lv. Paper format documentation may also be submitted to SAM in person (Room 11) or sent via mail to SAM address: Jersikas iela 15, Riga, LV‑1003.

 


For healthcare professionals and pharmacists

Report adverse drug reactions

Healthcare professionals and pharmacists may submit the Adverse Drug Reaction Report form:

  • In an electronic format using an e-form below.

          report adr

  • Or in paper format – PDF format vai MS Word format. A signed paper form must be sent to SAM via mail (address: Jersikas iela 15, Riga, LV-1003). 

If you require specialist assistance in order to complete the form, please call: +371 67078400.

 

Report incidents with medical devices 

Vigilance signal report form must be submitted to the State Agency of Medicines (SAM) after any incident or potential incident related to the use of a medical device that has resulted in or may result in death or serious harm to the health of a patient, user or third person.

Please report electronically using Vigilance signal report form for healthcare institutions (in Latvian) and sending the report to the following SAM e-mail address: info@zva.gov.lv. Paper format documentation may also be submitted to SAM in person (Room 11) or sent via mail to SAM address: Jersikas iela 15, Riga, LV‑1003.