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Free Case Evaluation

FREE CASE EVALUATION: 
YAZ / Yasmin / Beyaz / Safyral / Ocella / Gianvi

Our law firm represents people in personal injury and wrongful death cases that involve a deep vein thrombosis (DVT), pulmonary embolism (PE), stroke or cerebrovascular accident (CVA), heart attack or myocardial infarction (MI), and other serious adverse reactions caused by these drospirenone (DRSP) - ethinyl estradiol (EE) birth control pills: YAZ, Yasmin, Beyaz, Safyral, Ocella, and Gianvi.

Please be assured that the information you provide to our law firm when completing this legal case evaluation form will be treated by us as strictly confidential.  You will get a reply from us no later than the next business day.  Submitting a case evaluation does not obligate you to hire our law firm for your lawsuit.  We handle all cases on a contingency fee basis, which means that you will make no payment for our legal services until after we have succeeded in getting legal compensation for you.

If you need immediate advice or legal representation for a possible claim, call us on our toll-free number: (800) 426-9535.

Please do not hesitate to contact us, as there are no legal fees or any other costs incurred whether you fill out our case evaluation form or call our office to speak about a possible case.


Personal Information

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Best time to call: DayNight

 


Case Facts

1. Have you, a family member, or some other person you know suffered a serious side effect while taking one of the following birth control pills: YAZ / Yasmin / Beyaz / Safyral / Ocella / Gianvi? YesNo


If Yes, which pill?
YAZ Yasmin Beyaz Safyral Ocella Gianvi  

If Yes, please indicate which condition(s) the doctor diagnosed; check all that apply:

Stroke (Cerebrovascular Accident or CVA)
Heart Attack (Myocardial Infarction or MI)
Pulmonary Embolism (PE: blood clot in lung)
Deep Vein Thrombosis (DVT: blood clot in leg)


Other adverse side effect:

2. Would the case you are describing be a personal injury case or a wrongful death case:
Wrongful DeathPersonal Injury

3. Is this for you or someone else, and if it is for someone else, what is her relationship to you? MeSomeone Else
Relationship:

4. What was the date of the initial diagnosis of the YAZ / Yasmin / Beyaz / Safyral / Ocella / Gianvi adverse reaction or side effect:

5. If there was a death from YAZ / Yasmin / Beyaz / Safyral / Ocella / Gianvi, on what date did it occur:

6. What is the date of birth of the person who had an adverse reaction to YAZ / Yasmin / Beyaz / Safyral / Ocella / Gianvi:

7. Has a lawsuit been filed concerning the YAZ / Yasmin / Beyaz / Safyral / Ocella / Gianvi side effect: YesNo

8. At the time of the injury, was the person taking YAZ / Yasmin / Beyaz / Safyral / Ocella / Gianvi: YesNo

9. If not taken at the time of injury, when was the last time YAZ / Yasmin / Beyaz / Safyral / Ocella / Gianvi was taken prior to injury:


Is there any additional information you would like to include?

Please enter any additional information about this claim, as well as any comments or questions you may have, in the following space:



  • US FDA advises that you should not stop taking any prescription medication before talking to your doctor.
  • Reports of serious drug side effects should be made to the US FDA MedWatch program.
  • The prescription drug names are registered trademarks of the respective drug companies.
  • DrugInjuryLaw.com is not affiliated with any of the drug companies, nor US FDA.
Law Offices of Thomas J. Lamb, P.A.
Lumina Station Suite 225
1908 Eastwood Road
Wilmington, NC 28403
Tel: (910) 256-2971   Fax: (910) 256-2972
Toll Free: (800) 426-9535
email: ThomasJLamb@DrugInjuryLaw.com

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