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Looking for a Avandia lawyer in Connecticut? One of our partner firms will contact you for a Free, no-obligation Case Evaluation, and, if appropriate, help put you in contact with an attorney in Connecticut. Please fill in this form, and we'll get back to you soon. (If you prefer, you may contact one of our firms directly by phone).

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YOUR CONTACT INFORMATION
First Name: *
Last Name: *
E-mail Address: *
Address:
City:
State: *
Zipcode:
Phone: -- xtn

CASE INFORMATION
Why Was Avandia Prescribed?: *
What Dosage, in Milligrams?:
How Frequently Was Avandia Taken?:
Date Patient Began Taking Avandia:

Stopped Taking Avandia:

What Symptoms Were Experienced?: *
Heart Attack
Stroke
Heart Failure

Death
Other
PPH
If "Other", Please Describe:
How Long Was it From the Last Dose to the Problems Appearing?:
    Within 1 Day 2 Days 3 Days
    More Than 3 Days Don't Know
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