Fill in the details of the adverse reaction.

Patient Assessed by – the clinically trained member of staff that assessed the adverse reaction.

Reaction – select the appropriate reaction from the predefined list of adverse reactions or search by selecting ‘Other’.

Onset time – time and date when the adverse reaction took place.

Severity – optional

Type – optional

Several adverse reactions can be added in the same template by clicking ‘Add another adverse reaction’.

1. Click ‘Save’.

Note: The red box displays a link to the MHRA Yellow Card website to report the reactions.