Enhancing Drug Adverse Event Surveillance: UCSD Fluoroquinolone Effects Study
Registration

This form is to be used for registering for the UCSD Fluoroquinolone Effects Study. You may use it whether you believe that you have suffered an adverse reaction to fluoroquinolone (FQ) antibiotics during use and/or after cessation or you believe that you tolerated them. Fluoroquinolones are a class of antibiotics, of which there are many examples. Example fluoroquinolone antibiotics include drugs like ciprofloxacin (Cipro), levofloxacin (Levaquin), moxifloxacin (Avelox), and gatifloxacin (Zymar), and others.

Registering allows us to contact you with individualized links to questionnaires. Using the personalized links, you may start a questionnaire, take a break, and resume from the page where you left off for up to 1 month after starting it.

---This data will be used for research purposes only. Your personally identifying information will not be released outside the research study group.---

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