EPS/Safety
AE
PQC/user error/CMO-CRO
Consumer
HCP
100

Wife of a patient is returning a call from EPS agent, Joyce and reached med info instead of EPS.

What is callers name (first & last name), telephone # 

100

Consumer's wife calling to report AE during business hours

What is reporter name, phone#, patient name, full address, email address,

100

Infusion center calling to report that they cannot read the LOT number or Expiration date on the vial

What is caller name, phone#, prof designation, name of facility, address, phone#, email   

100

Consumer calling to get information on side effects of Leqembi

What is your name, phone#, city and state 

100

HCP's office manager calling to get a resource on Storage and Stability of Leqembi sent. 

What is the requestors name, HCP name, institution name, address, phone#, HCP email address

200

Registered Nurse is calling on behalf of one of their patients who would like to start on Leqembi and is inquiring about coverage/price information

What is caller name, phone#, address, HCP name, specialty and email address

200

Med Info person from Inizio calling to report an AE (after hours) that they heard over the weekend from a family member about Dayvigo

What is Med info agent name, phone #, reporter name, phone#, address, email

200

Infusion center calling to report that Besse delivered the product and temperature excursion happened over the weekend and would like to know if they can get a replacement/credit

What is caller name, facility name, address, phone#, email, Besse address, phone#

200

 Consumer who would like to start Leqembi infusion and would like to know about patient assistance program

What is callers name, phone# city and state 

200

Someone calling from HCP's office - you said the introduction and what will be your next response

What is your name, prof des, phone #, name of facility, address, email  

300

Agent from Safety calling stating that caller/consumer have medical questions, after reporting an AE.

What is callers name, phone number, city/state

300

Patient Navigator calling to report an adverse event about Leqembi, reported by an HCP'soffice RN

What is caller name, phone#, address, email (Eisai preferred method of contact), patient info if available 

300

Home infusion patient - nurse calling to report temp excursion and would like to know how to get a replacement 

What is the nurse name, phone#, patient name, phone#, address, pharmacy name where they received the medication from, address, phone# and email 

300

Daughter calling to get information on Leqembi for her mother and would like to know about tests that are required prior to the infusion and also like the prescribing information sent to her.

What is the callers name, phone#, city or state and email address (preferred method) 

300

Someone calling from hospital pharmacy requesting for Dossier

What is callers name, professional designation, phone#, facility name, address, HCP email

400

Agent from Safety transferring a call from a caretaker who just reported an AE and have questions on duration of treatment.

What is callers name, phone# city or state and if they report you any AE's then patient name, phone#, full address, DOB  

400

Caretaker calling to report that her husband has had a fever, since his Leqembi infusion yesterday. It is afterhours.

What is caller's (reporter's) name, phone #, patient name, address, email

400

NAS calling to report about white floating particles found in Leqembi vial for one of their infusion center clients.

What is NAS name, phone# and reporter name, prof designation, phone#, facility name, address, & email 

400

Consumer calling about Dayvigo savings card, how to activte it?

What is callers name, phone# city or state

400

Pharmacy student calling from specialty pharmacy requesting for SDS

What is caller name, phone#, name of supervising Pharmacist that student is under, facility name, address, email 

500

Medical Assistant from HCP's office calling about an AE form that they received from the safety department for one of their patients, who had an adverse event 

What is caller name, phone# and transfer to Safety.

500

Eisai MSL calling to report an AE/PQC during a meeting with the HCP  

What is MSL name, phone#, reporter name, phone#, facility name, address, email

500

Agent from Cardinal calling to report temperature excursion due to natural disaster

What is your name, prof designation, phone #, email, distributor name, address

500

Consumer calling after hours and is asking about a dose that was suppose to be received on Monday, and the infusion center rescheduled the appointment for Wednesday.

What is caller name, phone#, address, DOB, email (if willing to provide) - AE b/c patient/caller missed the dose.  

500

Retired HCP calling to get information on Leqembi side effects, scheduling of MRI, because his wife who is getting Leqembi had experienced severe HA after the 2nd infusion.  

What is caller/reporter First/Last name, phone#, address, patient name, DOB,   

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