Reporting Registry - MedWatch Report

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MedWatch Reporting by Consumers

MedWatch is the Food and Drug Administration's (FDA) program for reporting serious reactions
and problems with medical products, such as drugs and medical devices. Click on any question to get more detailed information on how to answer.

NOTE: The NPA will not release your personal data. We do not sell or share personal information.
See our privacy policy for more details.

Name:
Address:
City:
State:
Zip:
Phone:
Email:

Patient Information

*Date of birth:	(mm/dd/yyyy)
*Sex:	Female Male
*Weight (lbs):

Adverse Event or Problem

*Describe event:	Adverse Event (reactions/illnesses) Product Failure Both
*Outcomes attributed to adverse event (check all that apply):	death life-threatening hospitalization -- initial or prolonged disability congenital anomaly required intervention to prevent permanent impairment/damage other:
*Date of event:
*Describe event or problem:
*Other relevant history such as preexisting medical conditions :

Suspect Medication(s)

*Name of medication (give labeled strength if known):	Other:
*Dosage & frequency used:
*Therapy dates:	From To
*Diagnosis for use:
*Event ended after use stopped or dose reduced:	yes no doesn't apply
*Medication Lot # (if known):
*Event reappeared after reintroduction:	yes no doesn't apply
*Other medications and therapy dates:
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*Click on any question to get more detailed information on how to answer.

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The National Pediculosis Association,^® Inc.
A Non-Profit Organization
Serving The Public Since 1983.

2019 marks 36 years of Service.

The NPA is a 501(c)(3) tax-exempt non-profit volunteer organization, including scientific advisors, dedicated since 1983 to protecting children and their environment from the misuse and abuse of prescription and over-the-counter pesticide treatments for lice and scabies.
The LiceMeister comb® was developed by the NPA in 1997 to provide a higher standard for lice combing tools and a safe, cost-effective treatment alternative to pesticides. Proceeds from sales of the LiceMeister comb allow the NPA to be self-sustaining while accomplishing its mission.