Report Adverse Events & Counterfeit Products

Help protect consumers by reporting product safety concerns. Upload photos, store details, and adverse effects information.

Adverse Event Reporting

Report health issues, allergic reactions, or negative effects experienced after using a product. Include detailed symptoms, photos, and store location.

✓ Product details and batch number
✓ Date and time of adverse event
✓ Detailed symptoms description
✓ Purchase location and store name
✓ Product photos

Counterfeit Product Reporting

Report suspected counterfeit or inauthentic products found in retail. Include comparison details, store location, and supporting photos.

✓ Genuine vs. counterfeit details
✓ Why you suspect it's counterfeit
✓ Store name and address
✓ Date of purchase
✓ Product photos and comparisons

Adverse Event Report Form

Report health issues or negative reactions from product use. All information will be treated confidentially.

Identify Product by QR Code

Quickly identify the product by scanning the QR code on the packaging. This will auto-populate the product details below.

How to Scan:

1Click "Start Camera Scan" to enable your device camera
2Position the QR code within the scanning frame
3Hold steady until the QR code is detected
4Product details will auto-populate in the form below

💡 Note: QR codes are found on FCD AFRICA approved product packaging. If the product isn't recognized, please manually enter the product details below.

Product Information

Product Name *

Brand Name *

Product Batch/Lot Number *

Date of Purchase *

Where Product Was Purchased

Store/Retailer Name *

Store City and Country *

Adverse Event Details

Date Adverse Event Occurred *

Detailed Description of What Happened *

Symptoms or Effects Experienced *

📸 Upload Product Photos

Please upload clear photos showing:

Product packaging and label
Product batch/lot number
Expiry date
Product appearance (if visibly damaged or contaminated)
Any affected area on your body (if applicable and comfortable)

Photos should be clear, well-lit, and show the product clearly. Accepted formats: JPG, PNG (Max 5MB each)

Your Information

Your Full Name *

Email Address *

Phone Number *

Counterfeit Product Report Form

Report suspected counterfeit or inauthentic products. Help us protect the supply chain and consumers.

Scan Suspected Counterfeit Product

Scan the QR code on the suspected counterfeit product to verify authenticity and auto-populate the genuine product details below.

How to Scan:

1Click "Start Camera Scan" to enable your device camera
2Position the QR code within the scanning frame
3Hold steady until the QR code is detected
4Product details will auto-populate in the form below

💡 Note: QR codes are found on FCD AFRICA approved product packaging. If the product isn't recognized, please manually enter the product details below.

Product Information

Genuine Product Name *

Brand Name *

Suspected Counterfeit Product Details *

Where Counterfeit Was Found

Date of Purchase *

Store/Retailer Name *

Store Address and City *

Why Do You Suspect It's Counterfeit?

Detailed Description *

Differences from Authentic Product *

📸 Upload Comparison Photos

Please upload clear photos showing:

Counterfeit product packaging (front and back)
Authentic product packaging (for comparison, if available)
Close-up of logos, labels, and printing quality
Batch numbers and expiry dates
Any visible quality differences

Photos should be clear and show details clearly. Accepted formats: JPG, PNG (Max 5MB each)

Your Information

Your Full Name *

Email Address *

Phone Number *

⚠️ Important Notice

All reports are treated confidentially and reviewed by FCD AFRICA regulatory experts
Keep the suspect product and packaging for potential inspection
Do not consume or use the product if you suspect contamination or adverse effects
If experiencing severe adverse reactions, seek medical attention immediately
Provide as much detail and supporting evidence as possible
Reports are used to protect the supply chain and prevent harm to consumers

Report Adverse Events & Counterfeit Products

Adverse Event Reporting

Counterfeit Product Reporting

Adverse Event Report Form

Identify Product by QR Code

How to Scan:

Product Information

Where Product Was Purchased

Adverse Event Details

📸 Upload Product Photos

Your Information

✓ Report Submitted

Error Submitting Report

Counterfeit Product Report Form

Scan Suspected Counterfeit Product

How to Scan:

Product Information

Where Counterfeit Was Found

Why Do You Suspect It's Counterfeit?

📸 Upload Comparison Photos

Your Information

✓ Report Submitted

Error Submitting Report

⚠️ Important Notice