Reporting ADEs to MedWatch

Submit an Adverse Drug Event report for a medication with the MedWatch reporting program. There are three options for submitting a MedWatch report:

When using the online voluntary Reporting Form or the FDA 3500 form, it is essential that the words "IHS" or "Indian Health Service" appear on the form, ideally in the address of the "Reporter" section.

Submit the ADE to the FDA MedWatch Program via the RPMS EHR Template

It is important that you document Indian Health Service on the form, either at the top or in the ”Reporter“ section.

Step one

    To use the ADE template, create a new note with the Adverse Reaction/Allergy note title.

Step two

Choose the Adverse Drug Event note template. The template will populate most of the required information to make filling out the form quick and easy. You will need to enter information related to the ADE such as the clinical course.
If you do not have an Adverse Drug Event template, you can download it on the RPMS EHR website. Talk to your Clinical Application Coordinator about adding the template to your EHR.

Step three

  • At the end of the note you will find the instructions for mailing or faxing the note to the FDA MedWatch program:
    1. Complete the note
    2. Print the note
    3. Sign the note
    4. Fax or mail the note to the FDA MedWatch program
  • Frequently Asked Questions about Submitting the FDA MedWatch Form