Help on accessing alternative formats, such as Portable Document Format (PDF), Microsoft Word and PowerPoint (PPT) files, can be obtained in the alternate format help section.
You can send your adverse reaction report free of charge by mail to the Canada Vigilance Program by downloading the postage paid label and affixing it to a standard size blank envelope. Reporting forms and postage paid envelopes are also available upon request by contacting a Canada Vigilance Regional Office. For more information on how to report an adverse reaction to Health Canada, visit the Adverse Reaction Reporting section.
Follow these simple instructions to create a postage paid envelope to send your completed adverse reaction report to the Canada Vigilance Program.
Sample of postage paid label
(Artwork not to scale)
Sample of postage paid label affixed to envelope
Sample of incorrectly applied postage paid label