Adverse events

If you have encountered any adverse events with the use of our products, please fill out the form below and our team will be in contact.

Title *

First Name *

Last Name *

Email *

Country *

Date of reaction *

Name(s) of product(s) used *

Batch number of product(s) concerned (The batch number is printed on the underside of your product) *

Method of use of product(s) (order of application, frequency, area of application, etc.): *

Description of reaction (detailed description + attach photograph(s) if possible): *

Choose a file on your device or drag it

Formats accepted: JPG, JPEG, PNG, GIF, SVG.

temp-for-116647-file2-1_

What type of reaction have been observed/collected: *

Burns
Itching
Tingling
Redness
Other

Reaction localization *

What is the time elapsed between application of the product and the appearance of the reaction: *

If you used several products, after which application did you react? *

How long did the reaction last ? *

Is the reaction still present today? *

If yes, which ones?

Have you used the offending product before? *

Do you have any allergy history? *

If yes, which ones?

Do you have a skin medical history to share with us? *

If yes, which ones?

Did you expose yourself to the sun after applying the product(s)? *

Have you ever had a reaction to Biologique Recherche products or any other brand? *

If yes, which ones?

Has a professional advised you on the use of the product(s)? *

Yes
No
Not concerned

Have you stopped using the product? *

If so, did the reaction end when the product was stopped?

Have you tried stopping using the product for a while, then starting it up again? *

If so, did the reaction reappear?

Do you have any further information to share with us?

I consent to my data being used for cosmetovigilance purposes, recorded in the Biologique Recherche systems, and, if necessary, shared with health authorities. For more details on how we handle your data, please refer to our Privacy Policy.

Caché

Thank you for contacting us!

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Thank you for contacting us!

Your message has been sent, a member of our team will be in touch as soon as possible.

RÉSIDENCE BIOLOGIQUE RECHERCHE ROME

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