21 CFR § 803.11 - What form should I use to submit reports of individual adverse events and where do I obtain these forms?
---
identifier: "/us/cfr/t21/s803.11"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "21 CFR § 803.11 - What form should I use to submit reports of individual adverse events and where do I obtain these forms?"
title_number: 21
title_name: "Food and Drugs"
section_number: "803.11"
section_name: "What form should I use to submit reports of individual adverse events and where do I obtain these forms?"
chapter_name: "FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "H"
subchapter_name: "MEDICAL DEVICES"
part_number: "803"
part_name: "MEDICAL DEVICE REPORTING"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "21 U.S.C. 352, 360, 360i, 360j, 371, 374."
regulatory_source: "79 FR 8846, Feb. 14, 2014, unless otherwise noted."
cfr_part: "803"
---
# 803.11 What form should I use to submit reports of individual adverse events and where do I obtain these forms?
(a) If you are a manufacturer or importer, you must submit reports of individual adverse events to FDA in an electronic format in accordance with § 803.12(a) and § 803.20, unless granted an exemption under § 803.19.
(b) Importer reports submitted to device manufacturers may be in paper format or an electronic format that includes all required data fields to ensure that the manufacturer has all required information.
(c) If you are a user facility, you must submit reports of individual adverse events in accordance with § 803.12(b) and § 803.20.
(d) Form FDA 3500A is available on the internet at *https://www.accessdata.fda.gov/scripts/medwatch/index.cfm.*
[79 FR 8846, Feb. 14, 2014, as amended at 80 FR 10587, Feb. 27, 2015; 85 FR 18441, Apr. 2, 2020]