Roche will keep a record of the personal data that you provide for the minimum period necessary for the purpose of responding to your inquiry, to follow up on such requests and maintain the information in a Medical Information database for reference.
You are also aware that in case Roche F. Hoffmann La-Roche Ltd has legal obligation to report an adverse event, your data will be processed in accordance with specific GVP (pharmacovigilance) legislation, as described in the Privacy Notice for Pharmacovigilance.
Your data will not be used for any other purpose.
Please note: this form is not to be used to report side effects related to Roche products. To report a side effect, please contact your local Roche safety unit. For country-specific contact details visit www.roche.com/products/local_safety_reporting.