LAWSUITS NEWS & LEGAL INFORMATION

Serevent (life-threatening complications)

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Defendant:
(who caused the harm?)

Serevent, Advair, Seretide (life-threatening complications)

*Describe your complaint:
(briefly describe the damages you have suffered)

Have you taken one of these asthma medications? Serevent

Yes No

Seretide

Yes No

Advair

Yes No

Other product containing Salmeterol

Yes No

Have you or a loved one experienced a life-threatening asthma attack?

Yes No

Have you or a loved one experienced worsening or deterioration of asthma?

Yes No

Have you or a loved one experienced a heart attack, edema of the heart, congestive heart failure, or other cardiac emergencies?

Yes No

Have you or a loved one experienced any life-threatening respiratory problems including bronchospasm?

Yes No

Has a loved one experienced sudden or unexplained death?

Yes No

Have you or a loved one experienced rash, hives, or other signs of allergic response?

Yes No

Have you or a loved one experienced reactions of the larynx (voice) or choking?

Yes No

Do you have a copy of your medical records?

Yes No

Can you get a copy of your medical records?

Yes No

*First name:

*Last name:

*Email address:

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*Phone number(s):

*Zip/Postal Code:

Best time & way to contact you:

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