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Public ADR Reporting

Submit a NAROVAC safety event report

Use this form to report suspected adverse events, special situations, or related safety concerns. No account is required, and you can save a draft to finish later.

Before you submit: provide the reporter contacts, location details, product batch details, event timing, and a clear description of what happened. A NAROVAC safety team member may contact you for follow-up.
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B. NATURE OF ADVERSE EVENT/SPECIAL SITUATION

REPORTER/SENDER

GPS location

Use the device location permission to capture report coordinates.

Owner/Farm GPS location

Use the device location permission to capture owner or farm coordinates.

(for humans only indicate age and sex)

PRODUCTS ADMINISTERED

NAROVAC

Complete all NAROVAC product fields before submitting.

Default: EMULSION

Enter batch number

Example: oral, IM, IV

Select the vaccination schedule

Enter dose in milligrams

Select expiry date

Select manufacture date

Veterinarian, pharmacist, medical doctor, owner, or other

Other Medicine 1

Fill this only if another product was also administered.

Default: EMULSION

Enter batch number

Example: oral, IM, IV

Select the vaccination schedule

Enter dose in milligrams

Select expiry date

Select manufacture date

Veterinarian, pharmacist, medical doctor, owner, or other

Other Medicine 2

Fill this only if another product was also administered.

Default: EMULSION

Enter batch number

Example: oral, IM, IV

Select the vaccination schedule

Enter dose in milligrams

Select expiry date

Select manufacture date

Veterinarian, pharmacist, medical doctor, owner, or other

Other Medicine 3

Fill this only if another product was also administered.

Default: EMULSION

Enter batch number

Example: oral, IM, IV

Select the vaccination schedule

Enter dose in milligrams

Select expiry date

Select manufacture date

Veterinarian, pharmacist, medical doctor, owner, or other

ADVERSE EVENT/SPECIAL SITUATION

DESCRIPTION OF THE EVENT OR IMPORTANT SAFETY ISSUE

Please describe in detail, including the medical condition before administration, vaccination and result, dechallenge, and rechallenge.

OTHER INFORMATION

Attach more pages if necessary, e.g. investigation carried out or ongoing, or a copy of a medical report for human cases.

HUMAN CASE

If the reported case refers to a human being, please also complete the details of exposure below.

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