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Prescription Drugs & Medications: Injury or Death Case Evaluation

 

In a rush? You can use our Quick Contact Form now, and tell us more about your case when you have some time.

 

Free. Confidential. No Obligation.

 
Our law firm represents people in personal injury and wrongful death cases that involve a serious side effects caused by an unsafe drug or recalled drug, as well as adverse drug events and adverse drug reactions resulting from a drug-drug interaction or a medication error.

Be assured that the information you provide to our law firm when completing a case evaluation form on this web site is treated as strictly confidential.

Submitting a case evaluation does not obligate you to hire our law firm.

Lastly, we want you to know that you will get a reply directly from attorney Tom Lamb no later than the next business day.


 

Personal Information

*Required Fields

*Your Name:

*E-mail:

Street Address:

City:

State:

Zip:
 
*Phone Number:

Best time to call: DayNight


 

Case Facts

1. Have you, a family member, or some other person you know suffered a serious adverse reaction or side effect while using one or more prescription drug(s): YesNo

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

Liver Failure

Liver Injury

Liver Disease

Hepatitis B Reactivation

Drug-Induced Hepatitis

Liver Cancer

Burns or Scarring

Acute Interstitial Nephritis (AIN)

Chronic Kidney Disease (CKD)

End-Stage Renal Disease (ESRD)

Acute Kidney Injury

Acute Renal Failure

Kidney Failure

Kidney / Renal Injury

Severe Joint Pain or Arthralgia

Birth Defect

Cleft Lip / Cleft Palate / Oral Cleft

Heart Defect

Hypospadias

Spina Bifida

Melanoma (Skin Cancer)

Stroke (Cardiovascular Accident or CVA)

Cardiopulmonary Arrest (CPA) or Cardiac Arrest

Sudden Cardiac Death

Cardiovascular Death

Heart Attack or Myocardial Infarction (MI)

Acute Coronary Syndrome (ACS)

Heart Failure

Pulmonary Hypertension

Pulmonary Embolism (PE)

Deep Vein Thrombosis (DVT)

Diarrhea, Chronic or Severe

Enteropathy, Sprue-like

Pseudotumor Cerebri (PTC) / Idiopathic Intracranial Hypertension (IIH)

Serious Bleeding

Hemorrhages

Rhabdomyolysis (“Rhabdo”)

Ketoacidosis

Bladder Cancer

Pancreatitis

Retinal Detachment / Detached Retina

Uveitis (inflammation of the uvea, which is middle layer of the eye)

Stevens-Johnson Syndrome (SJS)

Toxic Epidermal Necrolysis (TEN)

Hypersensitivity Reaction (such as Anaphylaxis)

Progressive Multifocal Leukoencephalopathy (PML)

Lymphoma / Blood Cancer

Skin Cancer

Peripheral Neuropathy

Atypical or Stress Fracture of the Femur / Thighbone

Gynecomastia / Male Breasts

Diabetes Mellitus (DM) / Type-2 Diabetes

Organ Transplant

Other

2. Please list below the prescription drug(s) that are suspected to have caused the side effect:

3. At the time of the adverse reaction, side effect, or death, was the person using the prescription drug(s): YesNo

4. If not taken at that time, when was the last time the prescription drug(s) was used prior to the adverse reaction, side effect, or death:

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

6. Is this for you or someone else, and if it is for someone else, what is their relationship to you: MeSomeone Else

Relationship:

7. What was the date of the initial diagnosis of the adverse reaction or side effect:

8. If there was a death due to the adverse reaction or side effect, on what date did it occur:

9. What is the date of birth of the person who had the adverse reaction or side effect:

10. Has a lawsuit been filed concerning the adverse reaction, side effect, or death: YesNo


 

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:


 

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 personal injury or wrongful death claim, call us at our toll-free number: (800) 426-9535. Do not hesitate to contact us by phone, as there are no legal fees or any other costs incurred when you call us to speak about a possible case.

Please understand that if you are already represented by another lawyer, we cannot comment about nor evaluate your case. For this reason, we ask that you do not submit a Case Evaluation form to us if you have signed a contract of representation with another law firm.

Law Offices of Thomas J. Lamb, P.A.
1908 Eastwood Road, Suite 225
Wilmington, NC 28403
(800) 426-9535
ThomasJLamb@DrugInjuryLaw.com
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