Enter product information

Field or Control Name	Description
Include in VAERS Block	Select the VAERS Form block that this vaccine needs to be printed in.
Suspect Concomitant Treatment/Other	Make a selection for the product you are entering. The drug types indicate the involvement of the product with the adverse event(s) reported for the case. Suspect indicates that the product may have caused the adverse event(s). Concomitant indicates drugs that are taken with the suspect drug. Treatment/Other is the drug taken to treat the adverse event.
Generic Name	Enter the generic name of the drug in a manner similar to the Product Name. if the study is blinded, the Generic Name is replaced with the Study Name of the product. This name is entered based on the selected company product.
Formulation	Select the formulation of the product. Contact your administrator to adjust this list. Note: This field is entered based on the product.
Drug Authorization Country	Displays the licensed country for the selected company product.
Concentration	After a drug and formulation have been entered, select the concentration from the list, or enter the concentration. If this information is changed manually, the product is marked as a non-company product. Note: This field is entered based on the selected product. The concentration cannot be modified for a Study drug.
Units	Select a concentration unit. Contact your administrator to adjust this list.
Interaction?	Indicates whether the case involves a drug interaction.
Contraindicated?	Indicates whether the drug was administered contrary to its indication. Make the appropriate selection to indicate whether the drug was contraindicated in this case.