PvERS: the Pharmacovigilance Electronic Reporting System: Padrs

This form is meant for members of the public and patients to report medicine side effects, adverse events following vaccination, incidents involving medical devices or poor quality medicinal products.
Health care professionals should register and submit reports after successfull authentication.

DETAILS OF THE PERSON REPORTING

Name of Person Reporting *

County *

Relation

Email Address

Mobile No.*

Your phone number is important for follow up by the
Pharmacy and Poisons Board and to obtain
additional information as well as providing you with the feedback

DETAILS OF THE PATIENT

Patient's Name *

Gender

MaleFemale clear!

Date of Birth

-- clear!

If selected, year is mandatory.

--OR--

Age Group

clear!

Select type of report:

Side Effects Poor Quality Medicine

POOR QUALITY MEDICINE

Select all issues with the medicine/device

The label looks wrong Has unusual material in it The color is changing The smell is unusual The medicine/device is not working The packet or bottle does not seem to be usual or complete

Other wrong thingsAdditional wrong things?

DETAILS OF THE MEDICINE/VACCINE/DEVICE THAT CAUSED THE REACTION
(Include all medications)

1	Name of Medicine/Vaccine/Device	Manufacturer
	When did you start taking/using the medicine/vaccine/device?	When did you stop taking/using the medicine/vaccine/device? (dd-mm-yyyy)
	Expiry date of the medicine/vaccine/device	Where did you buy the medicine/vaccine/device?
For additional medicines/vaccines/devices, click

OUTCOME DETAILS

Outcome

Recovered/resolvedRecovering/resolvingRecovered/resolved with sequelaeNot recovered/not resolvedDeathUnknown clear!

Do you have pictures or documents that you would like to send to PPB? click on the button to add them:

#	File	Text Description

If we need further information to help us understand the case do we have your permission to contact you?

clear!

Please solve the riddle

8 - four =

History
+
Request History
4 previous requests available
====
Session
+
Session
- 0(null)
====
Request
+
Request

Cake Params
- plugin(null)
- controllerpadrs
- actionadd
- named(empty)
- pass(empty)
- isAjax(false)
Post data

No post data.

Query string

No querystring data.

Cookie

To view Cookies, add CookieComponent to Controller

Current Route
- keys(array)
  0controller
  1action
- options(array)
  defaultRoute(true)
- defaults(array)
  plugin(null)
- template/:controller/:action/*
====
Sql Log
+

Sql Logs

default

Total Time: 1 ms
Total Queries: 1 queries
Query Affected Num. rows Took (ms) Actions
SELECT `County`.`id`, `County`.`county_name` FROM `pvers`.`counties` AS `County` WHERE 1 = 1 ORDER BY `County`.`county_name` ASC 47 47 1

Query Explain:

Click an "Explain" link above, to see the query explanation.

====

Query	Affected	Num. rows	Took (ms)	Actions
SELECT `County`.`id`, `County`.`county_name` FROM `pvers`.`counties` AS `County` WHERE 1 = 1 ORDER BY `County`.`county_name` ASC	47	47	1

Timer

Memory

Peak Memory Use 5.49 MB

Message	Memory use
Component initialization	2.46 MB
Controller action start	2.83 MB
Controller render start	3.24 MB
View render complete	4.21 MB

Timers

Total Request Time: 87 (ms)

Message	Time in ms	Graph
Core Processing (Derived from $_SERVER["REQUEST_TIME"])	15.86
Event: Controller.initialize	2.98
Event: Controller.startup	0.41
Controller action	7.90
Event: Controller.beforeRender	6.24
» Processing toolbar data	6.02
Rendering View	44.81
» Event: View.beforeRender	0.03
» Rendering APP/View/Padrs/add.ctp	42.57
» » Rendering APP/View/Elements/padr/padr_edit.ctp	41.78
» » » Rendering APP/View/Elements/multi/padr_list_of_medicines.ctp	6.35
» » » Rendering APP/View/Elements/multi/attachments.ctp	0.74
» Event: View.afterRender	0.21
» Event: View.beforeLayout	0.02
» Rendering APP/View/Layouts/default.ctp	1.22
Event: View.afterLayout	0.00

====

Log
+

Logs

There were no log entries made this request

====
Variables
+
View Variables
- counties(array)
  30Baringo
  36Bomet
  39Bungoma
  40Busia
  28Elgeyo/Marakwet
  14Embu
  7Garissa
  43Homa Bay
  11Isiolo
  34Kajiado
  37Kakamega
  35Kericho
  22Kiambu
  3Kilifi
  20Kirinyaga
  45Kisii
  42Kisumu
  15Kitui
  2Kwale
  31Laikipia
  5Lamu
  16Machakos
  17Makueni
  9Mandera
  10Marsabit
  12Meru
  44Migori
  1Mombasa
  21Murang'a
  47Nairobi County
  32Nakuru
  29Nandi
  33Narok
  46Nyamira
  18Nyandarua
  19Nyeri
  25Samburu
  41Siaya
  6Taita Taveta
  4Tana River
  13Tharaka Nithi
  26Trans Nzoia
  23Turkana
  27Uasin Gishu
  38Vihiga
  8Wajir
  24West Pokot
- root/
- redirdefault
- $request->data(empty)
- $this->validationErrors(array)
  Permission(empty)
  Aro(empty)
  Aco(empty)
  Padr(empty)
  County(empty)
  PadrListOfMedicine(empty)
- Loaded Helpers(array)
  0Html
  1Form
  2Session
  3Captcha
  4Number
  5SimpleGraph
  6DebugTimer
  7Toolbar
  8Flash
  9HtmlToolbar
====

Environment

App Constants

Constant	Value
CONFIG	'/var/www/pvers/app/Config/'
MEDIA	'/var/www/pvers/app/webroot/media/'
MEDIA_STATIC	'/var/www/pvers/app/webroot/media/static/'
MEDIA_FILTER	'/var/www/pvers/app/webroot/media/filter/'
MEDIA_TRANSFER	'/var/www/pvers/app/webroot/media/transfer/'
MEDIA_UPLOAD_TMP_DIR	'/tmp'
MEDIA_URL	'media/'
MEDIA_STATIC_URL	'media/static/'
MEDIA_FILTER_URL	'media/filter/'
MEDIA_TRANSFER_URL	'media/transfer/'
HTTP_HOST	'45.79.161.190'
HTTP_BASE	'http://45.79.161.190'
HTTP_SELF	'/app/webroot/index.php'
HTTP_URI	'/padrs/add'
CHOWN_PUBLIC	(int) 504
LF	''
NL	''
CR	''
TB	''
BR	' '
WINDOWS	false
FORMAT_DB_DATETIME	'Y-m-d H:i:s'
FORMAT_DB_DATE	'Y-m-d'
FORMAT_DB_TIME	'H:i:s'
DEFAULT_DATETIME	'0000-00-00 00:00:00'
DEFAULT_DATE	'0000-00-00'
DEFAULT_TIME	'00:00:00'
FILES	'/var/www/pvers/app/files/'
LOCALE	'/var/www/pvers/app/locale/'
CLASS_USER	'User'
VALID_ALPHA	'/^[a-zA-Z]+$/'
VALID_ALPHA_UNDERSCORES	'/^[a-zA-Z_]+$/'
VALID_ALPHA_MINUS_UNDERSCORES	'/^[a-zA-Z_-]+$/'
VALID_ALPHA_WHITESPACES	'/^[a-zA-Z ]+$/'
VALID_ALPHANUMERIC_UNDERSCORES	'/^[\da-zA-Z_]+$/'
VALID_ALPHANUMERIC_MINUS_UNDERSCORES	'/^[\da-zA-Z_-]+$/'
VALID_ALPHANUMERIC_WHITESPACES	'/^[\da-zA-Z ]+$/'
VALID_ALPHANUMERIC_WHITESPACES_UNDERSCORES	'/^[\da-zA-Z _]+$/'
VALID_NUMERIC_UNDERSCORES	'/^[\d_]+$/'
VALID_NUMERIC_WHITESPACES	'/^[\d ]+$/'
VALID_NUMERIC_WHITESPACES_UNDERSCORES	'/^[\d _]+$/'
VALID_INTEGERS	'/^[\d]+$/'
FORMAT_NICE_YMDHMS	'd.m.Y, H:i:s'
FORMAT_NICE_YMDHM	'd.m.Y, H:i'
FORMAT_NICE_YM	'm.Y'
FORMAT_NICE_YMD	'd.m.Y'
FORMAT_NICE_MD	'd.m.'
FORMAT_NICE_D	'd'
FORMAT_NICE_W_NUM	'w'
FORMAT_NICE_W_ABBR	'D'
FORMAT_NICE_W_FULL	'l'
FORMAT_NICE_M	'm'
FORMAT_NICE_M_ABBR	'M'
FORMAT_NICE_M_FULL	'F'
FORMAT_NICE_Y_ABBR	'y'
FORMAT_NICE_Y	'Y'
FORMAT_NICE_HM	'H:i'
FORMAT_NICE_HMS	'H:i:s'
FORMAT_LOCAL_WA_YMDHMS	'%a, %d.%m.%Y, %H:%M:%S'
FORMAT_LOCAL_WF_YMDHMS	'%A, %d.%m.%Y, %H:%M:%S'
FORMAT_LOCAL_WA_YMDHM	'%a, %d.%m.%Y, %H:%M'
FORMAT_LOCAL_WF_YMDHM	'%A, %d.%m.%Y, %H:%M'
FORMAT_LOCAL_YMDHMS	'%d.%m.%Y, %H:%M:%S'
FORMAT_LOCAL_YMDHM	'%d.%m.%Y, %H:%M'
FORMAT_LOCAL_YMD	'%d.%m.%Y'
FORMAT_LOCAL_MD	'%d.%m.'
FORMAT_LOCAL_D	'%d'
FORMAT_LOCAL_W_NUM	'%w'
FORMAT_LOCAL_W_ABBR	'%a'
FORMAT_LOCAL_W_FULL	'%A'
FORMAT_LOCAL_M	'%m'
FORMAT_LOCAL_M_ABBR	'%b'
FORMAT_LOCAL_M_FULL	'%B'
FORMAT_LOCAL_Y_ABBR	'%y'
FORMAT_LOCAL_YMS_ABBR	'%d.%m.%y'
FORMAT_LOCAL_Y	'%Y'
FORMAT_LOCAL_H	'%H'
FORMAT_LOCAL_S	'%S'
FORMAT_LOCAL_HM	'%H:%M'
FORMAT_LOCAL_HMS	'%H:%M:%S'
CHAR_LESS	'<'
CHAR_GREATER	'>'
CHAR_QUOTE	'"'
CHAR_APOSTROPHE	'''
CHAR_ARROWS	'»'
CHAR_ARROWS_R	'»'
CHAR_ARROWS_L	'«'
CHAR_AVERAGE	'Ø'
CHAR_INFIN	'∞'
CHAR_MILL	'‰'
CHAR_PLUSMN	'±'
CHAR_HELLIP	'…'
CHAR_CIRCA	'≈'
CHAR_CHECKBOX_EMPTY	'☐]'
CHAR_CHECKBOX_MAKRED	'☑'
CHAR_CHECKMARK	'✓'
CHAR_CHECKMARK_BOLD	'✔'
CHAR_BALLOT	'✗'
CHAR_BALLOT_BOLD	'✘'
CHAR_ABOUT	'≈'
CHAR_RPIME	'′'
CHAR_DOUBLE_RPIME	'″'

CakePHP Constants

Constant	Value
APP	'/var/www/pvers/app/'
APP_DIR	'app'
APPLIBS	'/var/www/pvers/app/Lib/'
CACHE	'/var/www/pvers/app/tmp/cache/'
CAKE	'/var/www/pvers/lib/Cake/'
CAKE_CORE_INCLUDE_PATH	'/var/www/pvers/lib'
CORE_PATH	'/var/www/pvers/lib/'
CAKE_VERSION	'2.10.20'
CSS	'/var/www/pvers/app/webroot/css/'
CSS_URL	'css/'
DS	'/'
FULL_BASE_URL	'http://45.79.161.190'
IMAGES	'/var/www/pvers/app/webroot/img/'
IMAGES_URL	'img/'
JS	'/var/www/pvers/app/webroot/js/'
JS_URL	'js/'
LOGS	'/var/www/pvers/app/tmp/logs/'
ROOT	'/var/www/pvers'
TESTS	'/var/www/pvers/app/Test/'
TMP	'/var/www/pvers/app/tmp/'
VENDORS	'/var/www/pvers/vendors/'
WEBROOT_DIR	'webroot'
WWW_ROOT	'/var/www/pvers/app/webroot/'

PHP Environment

Environment Variable	Value
Php Version	'5.6.40-63+ubuntu18.04.1+deb.sury.org+2'
Redirect Redirect Status	'200'
Redirect Http Authorization	''
Redirect Status	'200'
Http Authorization	''
Http Accept	'/'
Http User Agent	'Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)'
Http Accept Encoding	'gzip, br, zstd, deflate'
Http Host	'45.79.161.190'
Path	'/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/sbin:/bin:/snap/bin'
Server Signature	' Apache/2.4.29 (Ubuntu) Server at 45.79.161.190 Port 80 '
Server Software	'Apache/2.4.29 (Ubuntu)'
Server Name	'45.79.161.190'
Server Addr	'45.79.161.190'
Server Port	'80'
Remote Addr	'18.191.37.129'
Document Root	'/var/www/pvers'
Request Scheme	'http'
Context Prefix	''
Context Document Root	'/var/www/pvers'
Server Admin	'webmaster@localhost'
Script Filename	'/var/www/pvers/app/webroot/index.php'
Remote Port	'31834'
Redirect Url	'/app/webroot/padrs/add'
Gateway Interface	'CGI/1.1'
Server Protocol	'HTTP/1.1'
Request Method	'GET'
Query String	''
Request Uri	'/padrs/add'
Script Name	'/app/webroot/index.php'
Php Self	'/app/webroot/index.php'
Request Time Float	(float) 1735303249.768
Request Time	(int) 1735303249

====

Include
+
Included Files

Include Paths
- 0/var/www/pvers/app/Plugin/Media/Lib/mm/src
- 1/var/www/pvers/lib
- 3/usr/share/php
- 4-> /var/www/pvers/lib/Cake/
Included Files
- core(array)
  Behavior(array)
  0CORE/Model/Behavior/TreeBehavior.php
  1CORE/Model/Behavior/ContainableBehavior.php
  Cache(array)
  0CORE/Cache/Cache.php
  1CORE/Cache/Engine/FileEngine.php
  2CORE/Cache/CacheEngine.php
  Component(array)
  0CORE/Controller/Component/AclComponent.php
  1CORE/Controller/Component/Acl/DbAcl.php
  2CORE/Controller/Component/Acl/AclInterface.php
  3CORE/Controller/Component/RequestHandlerComponent.php
  4CORE/Controller/Component/SessionComponent.php
  5CORE/Controller/Component/FlashComponent.php
  6CORE/Controller/Component/AuthComponent.php
  7CORE/Controller/Component/Auth/FormAuthenticate.php
  8CORE/Controller/Component/Auth/BaseAuthenticate.php
  Config(array)
  0CORE/Config/routes.php
  1CORE/Config/config.php
  Controller(array)
  0CORE/Controller/Controller.php
  1CORE/Controller/ComponentCollection.php
  2CORE/Controller/Component.php
  Datasource(array)
  0CORE/Model/Datasource/CakeSession.php
  1CORE/Model/Datasource/Database/Mysql.php
  2CORE/Model/Datasource/DboSource.php
  3CORE/Model/Datasource/DataSource.php
  Error(array)
  0CORE/Error/exceptions.php
  1CORE/Error/ErrorHandler.php
  I18n(array)
  0CORE/I18n/I18n.php
  1CORE/I18n/L10n.php
  Log(array)
  0CORE/Log/CakeLog.php
  1CORE/Log/LogEngineCollection.php
  2CORE/Log/Engine/FileLog.php
  3CORE/Log/Engine/BaseLog.php
  4CORE/Log/CakeLogInterface.php
  Model(array)
  0CORE/Model/Permission.php
  1CORE/Model/Model.php
  2CORE/Model/BehaviorCollection.php
  3CORE/Model/Aro.php
  4CORE/Model/AclNode.php
  5CORE/Model/Aco.php
  6CORE/Model/ModelBehavior.php
  7CORE/Model/ConnectionManager.php
  Network(array)
  0CORE/Network/CakeRequest.php
  1CORE/Network/CakeResponse.php
  Other(array)
  0CORE/bootstrap.php
  1CORE/basics.php
  2CORE/Core/App.php
  3CORE/Core/Configure.php
  4CORE/Core/CakePlugin.php
  5CORE/Event/CakeEventListener.php
  6CORE/Event/CakeEvent.php
  7CORE/Event/CakeEventManager.php
  8CORE/Core/CakeObject.php
  Routing(array)
  0CORE/Routing/Dispatcher.php
  1CORE/Routing/Filter/AssetDispatcher.php
  2CORE/Routing/DispatcherFilter.php
  3CORE/Routing/Filter/CacheDispatcher.php
  4CORE/Routing/Router.php
  5CORE/Routing/Route/CakeRoute.php
  6CORE/Routing/Route/PluginShortRoute.php
  Utility(array)
  0CORE/Utility/Hash.php
  1CORE/Utility/Inflector.php
  2CORE/Utility/ObjectCollection.php
  3CORE/Utility/Debugger.php
  4CORE/Utility/CakeText.php
  5CORE/Utility/ClassRegistry.php
  View(array)
  0CORE/View/HelperCollection.php
- app(array)
  Config(array)
  0APP/Config/core.php
  1APP/Config/bootstrap.php
  2APP/Config/routes.php
  3APP/Config/database.php
  Controller(array)
  0APP/Controller/PadrsController.php
  1APP/Controller/AppController.php
  Model(array)
  0APP/Model/AppModel.php
  1APP/Model/Padr.php
  2APP/Model/County.php
  Other(array)
  0APP/webroot/index.php
- plugins(array)
  CakePdf(array)
  Config(array)
  0CakePdf/Config/bootstrap.php
  1CakePdf/Config/routes.php
  DebugKit(array)
  Component(array)
  0DebugKit/Controller/Component/ToolbarComponent.php
  Plugin(array)
  0DebugKit/Lib/DebugMemory.php
  1DebugKit/Lib/Panel/HistoryPanel.php
  2DebugKit/Lib/DebugPanel.php
  3DebugKit/Lib/Panel/SessionPanel.php
  4DebugKit/Lib/Panel/RequestPanel.php
  5DebugKit/Lib/Panel/SqlLogPanel.php
  6DebugKit/Lib/Panel/TimerPanel.php
  7DebugKit/Lib/Panel/LogPanel.php
  8DebugKit/Lib/Log/Engine/DebugKitLog.php
  9DebugKit/Lib/Panel/VariablesPanel.php
  10DebugKit/Lib/Panel/EnvironmentPanel.php
  11DebugKit/Lib/Panel/IncludePanel.php
  12DebugKit/Lib/DebugTimer.php
  Media(array)
  Config(array)
  0Media/Config/bootstrap.php
  Plugin(array)
  0Media/Lib/mm/src/Mime/Type.php
  1Media/Lib/mm/src/Mime/Type/Magic/Adapter/Fileinfo.php
  2Media/Lib/mm/src/Mime/Type/Magic/Adapter.php
  3Media/Lib/mm/src/Mime/Type/Glob/Adapter/Memory.php
  4Media/Lib/mm/src/Mime/Type/Glob/Adapter.php
  5Media/Lib/mm/src/Media/Process.php
  6Media/Lib/mm/src/Media/Info.php
  Search(array)
  Component(array)
  0Search/Controller/Component/PrgComponent.php
  Behavior(array)
  0Search/Model/Behavior/SearchableBehavior.php
  Shim(array)
  Config(array)
  0Shim/Config/bootstrap.php
  Tools(array)
  Config(array)
  0Tools/Config/bootstrap.php
====

This form is meant for members of the public and patients to report medicine side effects, adverse events following vaccination, incidents involving medical devices or poor quality medicinal products.
Health care professionals should register and submit reports after successfull authentication.

DETAILS OF THE PERSON REPORTING

DETAILS OF THE PATIENT

--OR--

SIDE EFFECT

Select all side effects experienced

POOR QUALITY MEDICINE

Select all issues with the medicine/device

DETAILS OF THE MEDICINE/VACCINE/DEVICE THAT CAUSED THE REACTION
(Include all medications)

OUTCOME DETAILS

Do you have pictures or documents that you would like to send to PPB? click on the button to add them:

default

Total Time: 1 ms
Total Queries: 1 queries

Query Explain:

Memory

Timers

This form is meant for members of the public and patients to report medicine side effects, adverse events following vaccination, incidents involving medical devices or poor quality medicinal products. Health care professionals should register and submit reports after successfull authentication.

DETAILS OF THE PERSON REPORTING

DETAILS OF THE PATIENT

--OR--

SIDE EFFECT

Select all side effects experienced

POOR QUALITY MEDICINE

Select all issues with the medicine/device

DETAILS OF THE MEDICINE/VACCINE/DEVICE THAT CAUSED THE REACTION (Include all medications)

OUTCOME DETAILS

Do you have pictures or documents that you would like to send to PPB? click on the button to add them:

Request History

Session

Request

Cake Params

Post data

Query string

Cookie

Current Route

Sql Logs

default

Total Time: 1 ms Total Queries: 1 queries

Query Explain:

Memory

Timers

Logs

View Variables

App Constants

CakePHP Constants

PHP Environment

Included Files

Include Paths

Included Files

This form is meant for members of the public and patients to report medicine side effects, adverse events following vaccination, incidents involving medical devices or poor quality medicinal products.
Health care professionals should register and submit reports after successfull authentication.

DETAILS OF THE MEDICINE/VACCINE/DEVICE THAT CAUSED THE REACTION
(Include all medications)

Total Time: 1 ms
Total Queries: 1 queries