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Form Approved: OMB No[removed]Expiration Date: [removed]See PRA Statement below) DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration
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Document Date: 2013-06-03 10:09:56


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File Size: 1,25 MB

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City

New York / /

Company

XYZ Pharmaceutical / Did / /

Country

United States / /

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IndustryTerm

product maker / consumer health products / nutrition products / make-up products / search existing data sources / /

MedicalCondition

allergies / cancer / hurt / heart disease / diabetes / allergic rhinitis / specific disease / high blood pressure / /

MedicalTreatment

drainage / catheters / breast implants / herbal remedies / /

Organization

Food and Drug Administration / Food and Drug Administration office of Chief Information officer Paperwork Reduction Act / DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration MEDWATCH Consumer Voluntary Reporting / FDA / Department of Health and Human Services / /

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Position

aide / MedWatch Consumer Voluntary Reporting General Information Page EF Form Approved / safety evaluator / pharmacist / general information page / nurse / construction worker / /

ProvinceOrState

Maryland / /

Technology

transplantation / /

URL

http /

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