Blue card adverse reaction reporting form

Use this form to report suspected adverse reactions to vaccines and prescription, over-the-counter and complementary medicines.

Send completed Blue cards to the TGA:

• By mail to: Pharmacovigilance and Special Access Branch, Reply Paid 100, Woden ACT 2606
• By fax to: 02 6232 8392
• By email to: adr.reports@tga.gov.au