INSIGHT // 75 Cross-Border

The Cross-Border Pharmacovigilance Agreement: What a Safety Data Exchange Contract Cannot Allocate

Abstract: A US sponsor, an EU licensee and a Swiss distributor share one product and answer to three pharmacovigilance regimes that fix the reporting duty on different entities, start the clock at different moments and want different cases. The safety data exchange agreement allocates the work between them. It cannot allocate the duty, and since 12 February 2026 Union law prescribes what the agreement itself must say.
Plain Language Summary

This article examines the contracts through which drug companies share information about side effects of a medicine sold in several countries. A US company may license a medicine to a European partner or appoint a distributor in Switzerland. Each company must then report side effects to its own regulator. In the United States that is the FDA. In the EU it is the European Medicines Agency and the national authorities. In Switzerland it is Swissmedic, under the Swiss medicines statute (the Heilmittelgesetz, HMG). The three sets of rules differ on who must report, when the deadline starts to run and which cases must be sent. The article describes how those differences interact with a pharmacovigilance agreement. It explains why the agreement cannot shift the legal responsibility itself. It also describes what a new EU rule that applies since February 2026 requires such agreements to contain.

Table of Contents
  1. The Duty That Does Not Travel With the Contract
  2. Three Clocks on One Case
  3. Who Signs for the System: The QPPV, the Swiss Responsible Person and the Master File
  4. Health Data in the Safety Database: GDPR, DSG and a Transfer Framework Under Strain
  5. Strategic Considerations

A US applicant that licenses a product abroad or appoints a distributor at home already has a rule for the safety information those partners receive, and it is a comfortable one. 21 CFR 314.80 places the reporting duty on the applicant, lets a partner whose name appears on the label discharge its own duty by passing serious cases to the applicant within five calendar days, and leaves everything else to the safety data exchange agreement that alliance-management teams negotiate as a matter of routine.121 C.F.R. § 314.80(b), (c)(1)(i) and (c)(1)(iii); 21 C.F.R. § 600.80 for biologics. The assumption that travels with that rule into an EU license or a Swiss distribution deal is that the agreement does the same work everywhere, that it moves reports along the supply chain and that responsibility moves with them. It does not. In the EU the partner owes the holder nothing under the pharmacovigilance title of the Directive, so the contract is the only link, and since 12 February 2026 Union law prescribes what that contract must contain. In Switzerland the statute imposes a reporting-system duty on every distributor of finished product and routes it to one central point. Three architectures, one product, and an agreement drafted for the first of them that the other two read differently.

1. The Duty That Does Not Travel With the Contract

Directive 2001/83/EC imposes its pharmacovigilance obligations on two kinds of addressee, the Member State and the marketing authorization holder, and on no other private actor. Art. 104(1) of the Directive requires the holder to operate a pharmacovigilance system. Art. 107(1) requires it to record every suspected adverse reaction in the Union or in a third country that is brought to its attention and to keep those records accessible at a single point within the Union. Art. 107(3) of the Directive sets the submission clocks, and Art. 104(3) of the Directive requires the holder to have a qualified person responsible for pharmacovigilance permanently at its disposal and to maintain a master file describing the system.2Directive 2001/83/EC, Title IX: Art. 102(f), Art. 104, Art. 107, Art. 107a(6), Art. 107b, Art. 107c; Title XI: Art. 111(1g)(d) and (8). A licensee that is not itself a holder, a distributor, a contract sales organization or a call-center vendor appears nowhere in Title IX. What the holder may do is subcontract. Art. 6(1) of Implementing Regulation (EU) No 520/2012 allows it to subcontract certain activities of the system to third parties and, in the same breath, makes it retain full responsibility for the completeness and accuracy of the master file. Art. 11(2) makes it retain responsibility for the quality system applied to the subcontracted tasks. The Agency's GVP Module I adds that the ultimate responsibility for the fulfillment of all pharmacovigilance tasks and for the quality and integrity of the system always remains with the holder, even where the subcontracted role is that of the qualified person itself.3Implementing Regulation (EU) No 520/2012, Art. 2, 3(3), 6, 7(1), 11(2), 12 and 13; GVP Module I, I.B.1, I.C.1.1, I.C.1.3 and I.C.1.5. The regulator's counterparty is fixed by the authorization. The contract can move the work, and only the work.

Until 12 February 2026 the content of that contract was a matter of guidance. Module I asks for detailed and up-to-date arrangements describing the delegated tasks, the related interactions and data exchange, with agreed definitions, tools, assignments and timelines, and recommends regular risk-based audits of the other organization.3 Commission Implementing Regulation (EU) 2025/1466 turned the recommendation into text. From that date, Art. 6(3) of the amended Implementing Regulation requires every subcontract to contain a clear description of the third party's roles and responsibilities, an obligation on the third party to exchange safety data with the holder together, where relevant, with the method for doing so, arrangements for the inspection and auditing of the third party, and the third party's agreement to be audited by or on behalf of the holder and inspected by the competent authorities. The same applies, mutatis mutandis, to any further subcontract the third party concludes, and Art. 6(4) of the Implementing Regulation forbids that further subcontract without the holder's written consent. Art. 13(1a) of the Implementing Regulation then closes the loop from the other side. A subcontracted third party shall be audited by or on behalf of the holder, taking into account the risk of the activity, and may be inspected by the competent authorities even if the obligation under Art. 6(3) of the Implementing Regulation has not yet been included in the subcontract.4Commission Implementing Regulation (EU) 2025/1466, Art. 1(3) and (5) inserting Art. 6(3), 6(4) and 13(1a); applies from 12 February 2026. A vendor that negotiated the audit clause out of its agreement has not negotiated itself out of the audit. And a holder whose agreements predate February 2026 has a master file that lists, under Art. 3(3) of the Implementing Regulation, subcontracts which no longer say what the law requires them to say.

What the amending regulation does not do is define a subcontract. Art. 6(1) speaks of subcontracting activities of the pharmacovigilance system. A specialist service provider that runs the safety database plainly performs such an activity. A distributor whose sales representatives are instructed to forward complaints to the holder is performing one too, on the Implementing Regulation's own logic, because the collection of individual case safety reports is the first activity Art. 2(2) lists as part of the system. But a distribution agreement with a three-line adverse-event clause was rarely written as a pharmacovigilance subcontract, is seldom listed in the master file as one, and does not carry the four elements. Whether an inspector treats it as a subcontract that fails Art. 6(3) of the Implementing Regulation, or as a commercial contract outside the Implementing Regulation altogether, is a question the text leaves open and Module I, written thirteen years before the amendment, does not answer. The holder that has to answer it is the one whose master file the inspector is reading.

A safety data exchange agreement moves the work of pharmacovigilance to another company. It does not move the failure, which stays with the entity each regulator licensed.

The US rule the reader started from is different in kind, not only in detail. 21 CFR 314.80(c)(1)(iii) gives a manufacturer, packer or distributor named on the label a reporting duty of its own, and then lets it satisfy that duty by sending every serious case to the applicant within five calendar days, keeping a dated record of what it sent and when.1 The regulation reaches the partner directly. The contract sits on top of a duty that already exists. The Swiss architecture reaches the partner too, but from the opposite direction. Art. 59(1) HMG requires whoever manufactures medicinal products or distributes finished ones to maintain a reporting system, a Meldesystem, and to report adverse reactions and incidents to Swissmedic. Art. 87(1)(c) HMG attaches a fine of up to CHF 50,000 to the intentional breach of a reporting duty, and Art. 87(3) HMG attaches a fine of up to CHF 20,000 to a negligent one.5Heilmittelgesetz (HMG) (SR 812.21), Art. 10(1), Art. 14(2), Art. 58(3), Art. 59, Art. 87 and Art. 89. Art. 65(1) VAM then requires those same manufacturers and distributors to ensure that everything reportable is collected at one central point at the holder or the manufacturer, whose reporting office forwards it to Swissmedic and answers Swissmedic's questions. Art. 65(3) VAM has the holder designate a professionally qualified person for the reporting duty and allows that duty to be transferred to a suitable third person. Art. 12(2) AMBV adds that the person need not belong to the company, but that the responsibilities must in every case be set out in writing.6Arzneimittelverordnung (VAM) (SR 812.212.21), Art. 60 to 66 and Anhang 3; Arzneimittel-Bewilligungsverordnung (AMBV) (SR 812.212.1), Art. 12. The Swiss distributor therefore carries a statutory duty that the ordinance itself points at the holder's central point, and the written allocation is not a drafting preference but a condition of the holder's own license. What the ordinance does not say is whose knowledge starts the clock.

2. Three Clocks on One Case

The EU clock starts earliest and reaches furthest. Art. 107(3) of the Directive runs fifteen days for serious suspected adverse reactions occurring anywhere in the world, and ninety days for non-serious ones occurring in the Union, from the day the holder gained knowledge of the event. GVP Module VI defines that day. Under it the clock starts as soon as the minimum criteria for a valid report have been brought to the attention of any personnel of the holder, including medical representatives and contractors, and that date is day zero whether or not it falls on a working day.7GVP Module VI (Rev 2), VI.B.7, VI.B.7.1, VI.C.2.2 and VI.C.3. The Module then does something the US regulation does not. It requires the holder to ensure that any adverse reaction information relating to its active substance is brought to its attention by every company outside the EU that belongs to the same group, extends the same requirement to a company outside the EU with which the holder has concluded a commercial agreement for the product, and states that the clock starts when a valid report is first received by one of those companies outside the EU.7 A case that reaches a US licensor's call center on a Friday has started the EU licensee's fifteen days on that Friday. An agreement that gives the licensor ten business days to transmit has, on its own terms, consumed most of the licensee's regulatory period before the licensee knows the case exists. Art. 107a(6) of the Directive bars the Member States, absent justifiable grounds, from adding reporting obligations of their own, so there is no national rule to fall back on, only the holder's system and the contract that feeds it.

The US clock runs fifteen calendar days from initial receipt of the information by the applicant, whether the case is foreign or domestic, but only for cases that are both serious and unexpected against the US labeling. Everything else waits for the periodic report, quarterly for three years after approval and annually thereafter, and foreign marketing experience is left out of periodic reports altogether.1 The regulation does not say whether receipt by a foreign licensee or a contractor is receipt by the applicant. ICH E2D(R1), which the FDA issued as final guidance in March 2026 and which came into effect in the EU on 18 March 2026, does. Under it the clock starts on the date when any personnel of the holder, including third parties such as service providers and other contractual partners acting on behalf of the holder, obtains sufficient information to determine that a case meets the minimum criteria, and the holder remains ultimately responsible for reporting within the required timelines whatever the nature of the agreement.8ICH E2D(R1) (Step 4, 15 September 2025), sections 5.2 and 6.5; EMA Step 5 in effect 18 March 2026; FDA guidance of March 2026. Two regulators, one guideline, and a clause about transmission windows that neither regulator will read as extending its own clock.

Switzerland runs a third clock and wants a different set of cases. Art. 62(1) VAM requires serious suspected reactions and clusters to be reported within fifteen days of knowledge and previously unknown non-serious ones within sixty. Art. 61(1) VAM confines the individual case duty to reactions observed in Switzerland. Art. 61(4) and (5) VAM treat reactions observed abroad not as cases but as safety signals, to be summarized and evaluated in a report when they reveal new risks or new aspects of known ones, on a clock of five days where short-term measures are needed and fifteen where the hazard potential is serious.6 Swissmedic's information sheet for holders says the same thing in one line, do not send other than domestic reports. Its signals guidance adds that a signal or referral evaluated by the EMA, the FDA or the MHRA about a product authorized in Switzerland is itself a reportable signal, on the five-day and fifteen-day clocks where it amounts to an emerging safety issue and within ninety days where it does not, with day zero for an FDA action being the Swiss holder's own knowledge of it.9Swissmedic, Merkblatt MU101_20_004 (Version 5.0, 1 November 2025); Wegleitung Arzneimittelsignale HAM MU101_20_001 (Version 10.0, 1 February 2026), sections 5.3.1 and 5.3.2. A US partner's global database therefore has to apply three filters to one set of cases. The database must select serious and unexpected cases for the FDA's expedited track, serious worldwide plus non-serious EU cases for EudraVigilance, and Swiss cases only for Swissmedic, with the rest converted into signal reports. And an FDA safety communication about the US product starts a Swiss clock on the day the Swiss holder learns of it, which is often later than the day its US licensor did. The ordinance's annex incorporates its reporting rules by reference, among them the EU's Module I for the reporting system, ICH E2B and E2D for the case reports and the FDA's 2005 guidance on good pharmacovigilance practices. But the E2D it names is the 2003 version, so the wording on contractual partners that E2D(R1) carries reaches Swiss practice, if at all, through Swissmedic's reading of the state of the art rather than through the annex.6

The periodic reports diverge as much as the expedited ones. The EU periodic safety update report follows a frequency written into the authorization or into the Union reference date list under Art. 107c of the Directive. The US periodic report follows the anniversary of the approval, quarterly and then annually, unless the FDA has granted a waiver under 21 CFR 314.90 to accept a periodic benefit-risk evaluation report in the ICH E2C(R2) format in its place. Art. 60(1) VAM requires a holder of a Swiss authorization for a new active substance or a biosimilar to submit such a report periodically and unsolicited for four years after the Swiss authorization, in the same E2C(R2) format.10FDA, PBRER guidance (November 2016), waiver under 21 C.F.R. § 314.90 or § 600.90; Directive (n 2), Art. 107b and Art. 107c; VAM (n 6), Art. 60. One document can in principle serve three regulators. Three calendars, set by three different events, decide whether it ever does. Literature runs the same way. Art. 107(3) of the Directive excuses the holder from reporting cases the Agency finds in the journals it monitors under Art. 27 of Regulation (EC) No 726/2004 but leaves all other literature to the holder, and the FDA's fifteen-day duty attaches to case reports and formal trial results found in the scientific and medical journals. Nothing in either rule tells a licensor and a licensee which of them is searching, in which languages, for which territory.11Regulation (EC) No 726/2004, Art. 24, Art. 27, Art. 28, Art. 82(1), Art. 84 and Art. 84a with Annex II; Regulation (EU) 2019/5, Art. 4(1).

One suspected adverse reaction, three reporting regimes, one contract Three panels in a row and one box beneath them. The left panel, United States, cites 21 CFR 314.80 and 600.80 and lists: the duty sits on the applicant, and a nonapplicant named on the label may route serious cases through the applicant within five days; fifteen calendar days for serious and unexpected cases, foreign or domestic; periodic reports quarterly for three years, then annually. The middle panel, European Union, cites Directive 2001/83/EC and Implementing Regulation (EU) No 520/2012 and lists: the duty sits on the holder alone, and the partner's duty exists only in the contract; day zero is receipt by any personnel, contractors or a non-EU partner; fifteen days for serious cases and ninety for non-serious ones; from 12 February 2026 the subcontract has prescribed content. The right panel, Switzerland, cites Art. 59 HMG and Art. 61 to 66 VAM and lists: every distributor of finished product must run a reporting system; all reports are pooled at one central point at the holder; fifteen days for serious cases, sixty for unknown non-serious ones; domestic cases only, with foreign cases reaching Swissmedic as signals within five or fifteen days. The box beneath, connected to all three panels, reads: the safety data exchange agreement allocates tasks, timelines, audits and data exchange, and cannot move the duty, which stays with the entity each regulator licensed. One suspected adverse reaction, three regimes, one contract United States: FDA 21 CFR 314.80 and 600.80 Duty on the applicant; a nonapplicant on the label may route via it in 5 days 15 calendar days: serious + unexpected, foreign or domestic Periodic: quarterly for 3 years, then annually European Union: EudraVigilance Dir. 2001/83/EC; IR (EU) No 520/2012 Duty on the holder alone; the partner's duty exists only in the contract Day zero: receipt by any personnel, contractors or a non-EU partner 15 days serious; 90 days non-serious From 12 Feb 2026: prescribed subcontracts Switzerland: Swissmedic Art. 59 HMG; Art. 61 to 66 VAM Every distributor of finished product must run a reporting system All reports pooled at one central point 15 days serious; 60 days unknown Domestic cases only; foreign cases reach Swissmedic as signals, 5 or 15 days The safety data exchange agreement allocates tasks, timelines, audits and data exchange it cannot move the duty: the licensed entity answers to each regulator
Reporting regimes reaching one suspected adverse reaction to a product sold in the United States, the European Union and Switzerland, and the position of the safety data exchange agreement beneath them. Shown are the United States rule in 21 CFR 314.80, the EU rule in Directive 2001/83/EC and Implementing Regulation (EU) No 520/2012 as amended from 12 February 2026, and the Swiss rule in Art. 59 HMG and Art. 61 to 66 VAM.

3. Who Signs for the System: The QPPV, the Swiss Responsible Person and the Master File

Every EU pharmacovigilance system has exactly one QPPV, and Art. 104(3) of the Directive requires that person to reside and operate in the Union. Module I allows the same individual to serve more than one holder, for a shared or for separate systems, and expects the holder to inform the QPPV early of any partnership with a direct or indirect impact on the system and to involve the QPPV in preparing the contractual arrangements. Art. 104(4) of the Directive lets a national authority demand a contact person of its own who reports to the QPPV.2 The master file that the QPPV oversees must, under Art. 7(1) of the Implementing Regulation, sit in the Union at the site of the main pharmacovigilance activities or at the site where the QPPV operates. It must describe, under Art. 2(3) of the Implementing Regulation, the location of, functionality of and operational responsibility for the computerized systems and databases used to receive and record safety information. Its annex must list the subcontracts with the products and territories each covers.3 For a US-headquartered group whose global safety database is hosted by the US parent and operated by a vendor in a third country, the EU holder is describing, in a file it must produce on request, a system it neither owns nor controls, and a QPPV who must be able to reach every relevant record is relying on an access right that exists only in an intercompany agreement.

The inspector's reach is longer than the contract. Art. 111(1g)(d) of the Directive empowers officials to inspect the premises, records, documents and master file of the holder or of any firms employed by the holder to perform Title IX activities. Art. 111(8) requires a Member State that finds a holder's system does not match its master file to bring the deficiencies to the holder's attention and, where appropriate, to impose effective, proportionate and dissuasive penalties.2 Since 12 February 2026 the vendor's exposure to that inspection no longer depends on its agreement saying so.4 For a centrally authorized product the penalty is computed on a scale a US parent recognizes. Art. 84a of Regulation (EC) No 726/2004 allows the Commission to fine the holder up to 5 % of its Union turnover for failing to operate a comprehensive pharmacovigilance system, to record and report suspected adverse reactions or to submit periodic safety update reports, with periodic penalty payments of up to 2.5 % of average daily Union turnover while the failure continues. Art. 84a(2) of Regulation (EC) No 726/2004 contemplates, insofar as the delegated acts so provide, the same penalty on another legal entity in the same economic entity that exerted a decisive influence over the holder or was involved in, or could have addressed, the failure.11 A group that has centralized its safety function in the United States has placed the entity that could have addressed the failure outside the Union and inside that sentence.

The Swiss role is built differently, and a reader who transposes the QPPV onto it will misjudge both its flexibility and its limits. Art. 10(1)(c) HMG requires the holder of a Swiss authorization to have a domicile, registered office or branch in Switzerland, and Art. 10(1)(b) HMG requires it to hold a manufacturing, import or wholesale license, so the Swiss counterparty of the regulator is always a Swiss entity. But the professionally qualified person that Art. 65(3) VAM has that entity designate for the reporting duty may, on Swissmedic's published reading, be someone outside the company and outside Switzerland, whose name and address must be notified to Swissmedic on request and who, or whose deputy, must be contactable at least during business hours on Swiss working days.12Swissmedic, FAQs: General Pharmacovigilance, entries on the qualified person (1 January 2019) and on contactability (17 February 2016). A group can therefore run its Swiss pharmacovigilance from Boston. What it cannot do is run it without a Swiss entity that answers for it, without a written allocation that Art. 12(2) AMBV makes a condition of that entity's license, or without Swissmedic's power under Art. 59 VAM to carry out product-specific inspections at any time and, through the AMBV, abroad.6 The Swiss person has no residence requirement and a working-day contactability rule. The EU QPPV must reside and operate in the Union by statute and, under Module I, be reachable around the clock. An agreement that names one person for both roles has to satisfy the stricter set for the Union and the Swiss working-day rule for Switzerland, and the two are not the same test.

The EU Pharma Package will move the pieces without changing the shape. The Council compromise text of 6 March 2026 for the Directive that will replace Directive 2001/83/EC keeps the QPPV in the Union and the master file available on request, retains the fifteen-day and ninety-day clocks, and adds three things a cross-border agreement should already anticipate. Art. 99(7) of the Pharma Package Directive requires the holder to maintain procedures ensuring continued compliance with its pharmacovigilance tasks for an appropriate period, approved by the authority, after an authorization is withdrawn or revoked. Art. 105(1) of the Pharma Package Directive makes explicit that suspected adverse reactions from off-label use are to be recorded. And Art. 105a of the Pharma Package Directive gives a wholesale distributor that moves a product from one Member State to another a statutory duty to record suspected adverse reactions brought to its attention and to transmit them immediately to the holder in the source Member State, a duty that exists under Directive 2001/83/EC, if at all, only in the contract.13EU Pharma Package compromise texts, Council docs ST-6367/26 (Art. 99, Art. 105, Art. 105a, Art. 188(7)(c), Art. 219) and ST-6366/26 (Art. 172); committee approval 18 March 2026, formal adoption expected autumn 2026. Switzerland already runs the post-market tail the Package is adding. Art. 64 VAM keeps the Swiss reporting duty alive until the expiry date of the last batch delivered, which for a product withdrawn from the Swiss market can be years after the distribution agreement has ended.6 As of publication the Package awaited the Council's first-reading position and a plenary vote, with formal adoption expected in the autumn of 2026 and a further twenty-four months before the Directive's provisions apply, so an agreement signed in 2026 will still be in force when they do.

4. Health Data in the Safety Database: GDPR, DSG and a Transfer Framework Under Strain

An individual case safety report is, before it is anything else, health data about an identifiable patient and contact data about an identifiable reporter, and every transmission the agreement provides for is a processing operation under the data-protection law of the place it leaves. Art. 9(1) GDPR prohibits processing data concerning health. Art. 9(2)(i) GDPR lifts the prohibition where processing is necessary for reasons of public interest in the area of public health, including ensuring high standards of quality and safety of medicinal products, on the basis of Union or Member State law that provides for suitable and specific measures, and Art. 6(1)(c) GDPR supplies the lawful basis for what the Directive requires.14Regulation (EU) 2016/679 (GDPR), Art. 4(15), Art. 6(1)(c), Art. 9(1) and (2)(i), Art. 44 to 46. Module VI requires the holder's traceability and follow-up mechanisms to operate while complying with the data-protection legislation and, beyond a note on pseudonymization for submissions to EudraVigilance, says nothing about the onward flow of the same case.7 The condition in Art. 9(2)(i) GDPR is satisfied for what the Directive obliges the EU holder to do. Whether it is satisfied for the onward flow of the same case into a US licensor's global database, for reconciliation, for signal detection across territories in which the licensor holds no authorization, or for the licensor's own FDA reporting, is a question the pharmacovigilance rules do not ask and the agreement usually answers with a single clause about compliance with applicable law.

The transfer itself sits on a foundation examined in Insight 64. The Commission's adequacy decision for the EU-US Data Privacy Framework remains in force, but on 29 June 2026 the US Supreme Court held in Trump v. Slaughter that the President may remove the commissioners of the Federal Trade Commission at will, and on 31 July 2026 the European Data Protection Board asked the Commission in writing to closely assess whether that judgment affects the functioning of the decision, whose recitals rely on the independence of the same commissioners.15Commission Implementing Decision (EU) 2023/1795 (EU-US DPF), recitals 58 to 60; Trump v. Slaughter, No. 25-332 (29 June 2026); EDPB letter to Commissioner McGrath of 31 July 2026. A safety database hosted by a certified US importer is transferring under a framework whose supervisory premise has been questioned by the board the GDPR charges with advising the Commission on adequacy. A database hosted by a US company that never certified is transferring under standard contractual clauses whose adequacy the exporter had to assess itself. Neither situation is addressed by a clause that allocates pharmacovigilance tasks.

Switzerland compounds the layering rather than mirroring it. Health data are besonders schützenswerte Personendaten under Art. 5(c) DSG. Art. 16 DSG permits disclosure abroad where the Federal Council has found adequate protection or, failing that, under guarantees such as standard clauses approved by the EDÖB. Anhang 1 of the DSV lists the United States as adequate only for organizations certified under the Swiss-US framework, a listing the Federal Council maintains on its own timetable and that nothing obliges it to revisit when the Commission revisits its decision.16Datenschutzgesetz (DSG) (SR 235.1), Art. 5(c), Art. 16, Art. 17 and Art. 24; Datenschutzverordnung (DSV) (SR 235.11), Anhang 1. The US end of the chain adds a rule of its own. 21 CFR 314.80(i) directs the applicant to leave patient names and addresses out of what it sends to the FDA but to include the reporter's name, and 21 CFR 314.80(j) requires the applicant to keep every adverse drug experience record for ten years. A case that Art. 61(3) VAM required to be submitted to Swissmedic in anonymized form is therefore retained, with the reporter identified, by an entity that never processed it as a European or Swiss holder.1 Whether the Swiss distributor, the EU licensee and the US licensor are three controllers, a controller and two processors, or something the agreement never characterized at all determines whose breach it is when the database is compromised, and the pharmacovigilance clauses were not written to answer that either.

5. Strategic Considerations

The first questions are structural, and most agreements answer them by silence. Which entity holds which authorization decides whose day zero the regulator will count from and whose master file the inspector will read. A group that lets the US parent, the EU licensee and the Swiss distributor each keep a database has three systems where Module I expects one description of one. Whether the transmission windows in the agreement were ever reconciled against the fifteen days that begin when the licensor's call center answers the phone, or against the five days Swissmedic allows for an emerging safety issue that the FDA announced first, is knowable only from the agreement and the case logs together. Whether the distribution agreement with the Swiss partner was written as the subcontract that Art. 6(3) of the Implementing Regulation describes, and whether the arrangement with the Swiss responsible person is the written allocation that Art. 12(2) AMBV requires, are questions with a documentary answer that may not be the intended one.

The second set concerns the parties the agreement does not bind. A parallel importer authorized under Art. 14(2) HMG holds its own Swiss authorization and its own reporting duty, and no contract connects its cases to the originator's central point, so the originator's system will receive reports about packs it never shipped and must record them as its own, a problem Insight 08 approaches from the distribution side.5 In the Union the parallel trader owes the holder no pharmacovigilance duty until Art. 105a of the Package Directive applies, and the holder's Art. 107(1) duty to record what is brought to its attention runs regardless. Whether a vendor engaged by the US parent rather than by the EU holder is a firm employed by the holder for the purposes of Art. 111(1g)(d) of the Directive is a question the Directive does not settle. Art. 13(1a) of the Implementing Regulation is less forgiving, because since February 2026 it reaches any third party subcontracted to conduct pharmacovigilance tasks on behalf of or in conjunction with the holder, whether or not any contract with the holder says so.

The third set is what happens when the relationship ends. A terminated license leaves the EU holder with a ten-year retention duty under Art. 12(2) of the Implementing Regulation for data held in a database it no longer has access to, the Swiss holder with an Art. 64 VAM duty that runs to the expiry of the last batch, and, once the Package applies, an approved post-withdrawal period under Art. 99(7) of the new Directive. Whether the survival clause was drafted against any of those periods, or against the commercial term alone, is the question that surfaces at the moment the parties are least inclined to cooperate.

For a US-listed parent the feedback loops are concrete. A late fifteen-day report is a failure to make a report required under section 505(k) of the Federal Food, Drug, and Cosmetic Act, a prohibited act under section 301(e) that carries misdemeanor exposure without proof of intent and, under 21 CFR 314.80(k), a ground on which the FDA may withdraw approval. A fine computed on Union turnover under Art. 84a of Regulation (EC) No 726/2004, or a fine under Art. 87 HMG, which Art. 89 HMG lets Swissmedic impose on the Swiss subsidiary itself where no more than CHF 20,000 is at stake and the responsible individual would be disproportionately hard to identify, is a foreign regulatory action of the kind that standard US directors-and-officers policies sub-limit and that a risk-factor disclosure may have to describe.1721 U.S.C. § 355(k)(1), § 331(e) and § 333(a); Regulation (EC) No 726/2004 (n 11), Art. 84a; HMG (n 5), Art. 87. And a safety signal that reached the database late, or was reported to one regulator and not another, is the evidence a claimant will look for when the product's warnings are alleged to have lagged behind what the holder knew, a liability layer that Insight 48 examines for the supply chain as a whole.

Which of these lines a given arrangement sits on depends on which entities hold which authorizations, how the databases are wired, what the agreements and the master file actually say, and how each regulator has been reading them. Those are questions of fact and of drafting, and they require analysis tailored to the product, the entities involved and the commercial context.

REFERENCES

01
21 C.F.R. § 314.80 (postmarketing reporting of adverse drug experiences), § 314.80(a) (definitions of a serious and of an unexpected adverse drug experience), § 314.80(b) (prompt review of all adverse drug experience information obtained or otherwise received by the applicant from any source, foreign or domestic; written procedures for surveillance, receipt, evaluation and reporting), § 314.80(c)(1)(i) (postmarketing 15-day Alert reports for adverse drug experiences that are both serious and unexpected, foreign or domestic, no later than 15 calendar days from initial receipt of the information by the applicant), § 314.80(c)(1)(iii) (the same requirements apply to any person other than the applicant whose name appears on the label as a manufacturer, packer or distributor, a nonapplicant, whose obligations may be met by submitting all reports of serious adverse drug experiences to the applicant within 5 calendar days of initial receipt, keeping a record of each report, the dates received and submitted, and the applicant's name and address), § 314.80(c)(2) (periodic reports quarterly for 3 years from approval and annually thereafter; periodic reporting does not apply to information from postmarketing studies, the scientific literature or foreign marketing experience, other than 15-day Alert reports), § 314.80(d) (15-day reporting for serious and unexpected experiences found in the scientific and medical journals as case reports or formal trial results), § 314.80(i) (patient privacy: no patient names or addresses, but the reporter's name is included), § 314.80(j) (records of all adverse drug experiences kept for 10 years) and § 314.80(k) (withdrawal of approval where the applicant fails to establish and maintain records and make reports). The parallel rule for licensed biological products is 21 C.F.R. § 600.80, whose paragraph (c)(1)(iii) extends the nonapplicant mechanism to shared manufacturers, joint manufacturers and other participants in divided manufacturing.
02
Directive 2001/83/EC of the European Parliament and of the Council of 6 November 2001 on the Community code relating to medicinal products for human use [2001] OJ L311/67, Title IX (pharmacovigilance) as replaced by Directive 2010/84/EU of 15 December 2010 [2010] OJ L348/74: Art. 101(1) (Member State pharmacovigilance systems), Art. 102(f) (effective, proportionate and dissuasive penalties for a holder that fails to discharge its Title IX obligations), Art. 104(1) to (4) (the holder's pharmacovigilance system and its regular audit; a qualified person responsible for pharmacovigilance permanently and continuously at the holder's disposal, who shall reside and operate in the Union; the pharmacovigilance system master file; the risk management system; a national contact person on request, reporting to the qualified person), Art. 107(1) (recording of all suspected adverse reactions in the Union or in third countries brought to the holder's attention; reports accessible at a single point within the Union), Art. 107(3) (submission to the Eudravigilance database of all serious suspected adverse reactions occurring in the Union or in third countries within 15 days, and of non-serious suspected adverse reactions occurring in the Union within 90 days, in each case following the day on which the holder gained knowledge of the event; monitoring of the medical literature not covered by the Agency's list), Art. 107(4) (follow-up), Art. 107a(6) (no additional Member State obligations on holders for the reporting of suspected adverse reactions absent justifiable grounds), Art. 107b and Art. 107c (periodic safety update reports; frequency specified in the authorization or determined through the Union reference date list), and, in Title XI (supervision and sanctions), Art. 111(1g)(d), as structured by Directive 2011/62/EU, (inspection of the premises, records, documents and pharmacovigilance system master file of the holder or of any firms employed by the holder to perform the activities described in Title IX) and Art. 111(8) (where the holder does not comply with the system described in its master file or with Title IX, the deficiencies are brought to its attention, the other Member States, the Agency and the Commission are informed, and effective, proportionate and dissuasive penalties are imposed where appropriate).
03
Commission Implementing Regulation (EU) No 520/2012 of 19 June 2012 on the performance of pharmacovigilance activities provided for in Regulation (EC) No 726/2004 of the European Parliament and of the Council and Directive 2001/83/EC of the European Parliament and of the Council [2012] OJ L159/5, Art. 2(2), (3) and (6) (content of the pharmacovigilance system master file: the sites at which individual case safety report collection and the other listed activities are undertaken; the location of, functionality of and operational responsibility for the computerised systems and databases used to receive, collate, record and report safety information; a description of subcontracted activities and services), Art. 3(3) (the annex to the master file contains the list of subcontracts), Art. 6(1) and (2) (the holder may subcontract certain activities of the system to third parties but retains full responsibility for the completeness and accuracy of the master file; it draws up a list of its subcontracts specifying the products and territories concerned), Art. 7(1) (the master file is located in the Union at the site where the main pharmacovigilance activities are performed or at the site where the qualified person operates), Art. 11(2) (responsibility for an effective quality system retained in relation to subcontracted tasks), Art. 12(1) and (2) (traceability and follow-up mechanisms; pharmacovigilance data and documents retained as long as the product is authorised and for at least 10 years after the authorisation has ceased to exist) and Art. 13 (audit). European Medicines Agency, 'Guideline on good pharmacovigilance practices (GVP) Module I: Pharmacovigilance systems and their quality systems' (EMA/541760/2011, in effect 2 July 2012), I.B.1 (definition of a pharmacovigilance system), I.C.1.1 (each pharmacovigilance system can have only one QPPV; a QPPV may be employed by more than one holder, for a shared or for separate systems; where the holder intends to establish a partnership with a direct or indirect impact on the system, the QPPV should be informed early enough and involved in preparing the contractual arrangements), I.C.1.3 (the QPPV's oversight of the system, including its contractual arrangements, and role as single contact point on a 24-hour basis) and I.C.1.5 (subcontracting, which may include the role of the QPPV; the ultimate responsibility for the fulfilment of all pharmacovigilance tasks and the quality and integrity of the system always remains with the holder; subcontracts should be detailed, up-to-date and clearly document the arrangements for delegation and the responsibilities of each party, with sufficiently detailed descriptions of the delegated tasks, the related interactions and data exchange, together with agreed definitions, tools, assignments and timelines, processes for checking adherence on an ongoing basis, and regular risk-based audits recommended; the other organisation may be subject to inspection).
04
Commission Implementing Regulation (EU) 2025/1466 of 22 July 2025 amending Implementing Regulation (EU) No 520/2012 on the performance of pharmacovigilance activities provided for in Regulation (EC) No 726/2004 of the European Parliament and of the Council and Directive 2001/83/EC of the European Parliament and of the Council [2025] OJ L 2025/1466, recitals 3 and 4 (delegation arrangements, each party's responsibilities and audit and inspection arrangements to be clearly documented; third parties to agree to be audited and inspected; a subcontract's shortcomings not to affect the performance of audits and inspections), Art. 1(3) (inserting into Implementing Regulation (EU) No 520/2012 (n 3) an Art. 6(3), under which the holder shall include in the subcontracts a clear description of the roles and responsibilities of the third parties, the obligation of the third parties to exchange safety data with the holder and the method for exchanging them, arrangements for the inspection and auditing of the third parties, and the obligation of the third parties to agree to be audited by or on behalf of the holder and inspected by the competent authorities, the paragraph applying mutatis mutandis to third parties that subcontract the tasks subcontracted to them, and an Art. 6(4), under which third parties shall not subcontract any pharmacovigilance task assigned to them without the holder's written consent), Art. 1(5)(b) (inserting an Art. 13(1a): any third party subcontracted to conduct pharmacovigilance tasks in whole or in part on behalf of or in conjunction with the holder shall be audited by or on behalf of the holder taking into account the risk of the subcontracted activity and may be inspected by the competent authorities, even if the obligation pursuant to Art. 6(3) has not yet been included in the subcontract), Art. 1(7) (replacing Art. 18(2): holders shall monitor the data available in the Eudravigilance database and use it together with data from other available sources) and Art. 2 (entry into force on the twentieth day following publication; application from 12 February 2026, save for points (7) and (9) of Art. 1, which applied from entry into force).
05
Bundesgesetz über Arzneimittel und Medizinprodukte (Heilmittelgesetz, HMG) vom 15. Dezember 2000 (SR 812.21), Art. 10(1)(b) and (c) (an applicant for authorization must hold a manufacturing, import or wholesale licence of the competent authority and must have established a domicile, registered office or branch in Switzerland), Art. 14(2) (simplified authorization for a further distributor of a product already authorized in Switzerland and imported from a country with an equivalent authorization system, provided that the further distributor can continuously ensure that it meets the same safety and quality requirements as the first applicant), Art. 58(3) (Swissmedic is responsible for monitoring the safety of therapeutic products, collects and evaluates the reports made under Art. 59 and takes the necessary administrative measures), Art. 59(1) (whoever manufactures therapeutic products or distributes ready-to-use ones must ensure that a reporting system is in place and must report to Swissmedic adverse reactions and incidents attributable, or possibly attributable, to the product, its use or improper labelling or instructions, and those that could endanger or impair health), Art. 59(3) (reporting duty of persons who professionally dispense or administer therapeutic products), Art. 59(5) and (6) (reports to be made in accordance with the recognized rules of good vigilance practice, which the Federal Council specifies with regard to internationally recognized guidelines and standards), Art. 87(1)(c) (a fine of up to CHF 50,000 for whoever intentionally breaches the reporting, registration or publication duties of the Act), Art. 87(3) (a fine of up to CHF 20,000 for negligent conduct) and Art. 89 (where a fine of at most CHF 20,000 is at issue and identifying the responsible individuals would require disproportionate investigative measures, the business may be ordered to pay the fine in their place).
06
Verordnung über die Arzneimittel (Arzneimittelverordnung, VAM) vom 21. September 2018 (SR 812.212.21), Art. 59 (Swissmedic may carry out product-specific inspections at any time; inspections abroad and inspectors' powers follow Art. 60(2) and (3) and Art. 62 AMBV), Art. 60(1) and (2) (the holder of an authorization for a product with a new active substance or a biosimilar must, for four years after the authorization, submit periodically and unsolicited an updated report on safety and the benefit-risk balance, drawn up in accordance with the rules of good vigilance practice in Anhang 3), Art. 61(1) to (5) (the manufacturer or holder must report to Swissmedic serious and previously unknown suspected adverse reactions observed in Switzerland, and clusters of them; reports are submitted in anonymized form and must contain all available information relevant to the assessment; suspected adverse reactions observed in Switzerland or abroad must be reported where they concern previously unknown risks or new aspects of known risks that are being clarified with a view to risk-minimizing measures, require such measures or have led to such measures abroad, or where they occur in clusters; that information on risks, the safety signals, is to be summarized and evaluated in a report submitted with the measures and clarifications envisaged), Art. 62(1) and (2) (reporting within 15 days of knowledge for serious adverse reactions and for clusters, and within 60 days for previously unknown non-serious ones; safety signals immediately and at the latest within 5 days where short-term measures to safeguard drug safety are required, and within 15 days for other signals with serious hazard potential), Art. 64 (the reporting duty runs from the submission of the application for authorization until the expiry date of the last batch delivered), Art. 65(1) to (3) (whoever manufactures medicinal products or distributes ready-to-use ones must ensure that all information that must be reported is collected at a central point at the holder or the manufacturer and continuously evaluated; that reporting office must ensure that the information is forwarded to Swissmedic as prescribed and is responsible for the complete and timely answering of Swissmedic's questions on the product's risks; the holder or manufacturer designates a professionally qualified person responsible for fulfilling the reporting duty and may transfer that duty to a suitable third person, the requirements for the person being those of Art. 12(1)(d) and (2) AMBV), Art. 66 (content and form of reports in accordance with the rules of good vigilance practice in Anhang 3) and Anhang 3 (the rules of good vigilance practice for human medicinal products: ICH guideline E2E and GVP Module V for the risk management plan; ICH guideline E2C(R2) for the periodic report on safety and the benefit-risk balance; ICH guidelines E2B(R2), E2B(R3) and E2D, the last in its version of November 2003, for reports of suspected adverse reactions; the EMA's GVP Module I of 2 July 2012 for the reporting system; and the FDA's guidance of March 2005, 'Good Pharmacovigilance Practices and Pharmacoepidemiologic Assessment', for pharmacovigilance). Verordnung über die Bewilligungen im Arzneimittelbereich (Arzneimittel-Bewilligungsverordnung, AMBV) vom 14. November 2018 (SR 812.212.1), Art. 12(1)(d) (an applicant for a wholesale or import licence that intends, as holder of the marketing authorization, to release ready-to-use medicinal products onto the market must ensure that a person with the relevant expertise is available for pharmacovigilance who performs the duty to report adverse reactions under Art. 61 and Art. 65 VAM), Art. 12(2) (that person need not belong to the company, but the responsibilities must in every case be regulated in writing), Art. 60(2) and (3) and Art. 62 (inspections abroad and inspectors' powers).
07
European Medicines Agency, 'Guideline on good pharmacovigilance practices (GVP) Module VI: Collection, management and submission of reports of suspected adverse reactions to medicinal products (Rev 2)' (EMA/873138/2011 Rev 2, in effect 22 November 2017), VI.B.7 (the clock for the submission of a valid individual case safety report starts as soon as the information containing the minimum criteria has been brought to the attention of the national or regional pharmacovigilance centre of a competent authority or of any personnel of the holder, including medical representatives and contractors; that date is day zero, irrespective of whether the information is received during a weekend or public holiday; where the holder has set up contractual arrangements with a person or an organisation, explicit procedures and detailed agreements should specify the processes for the exchange of safety information, including the timelines and responsibilities for the regulatory submission of valid reports, organised so as to avoid duplicate submissions), VI.B.7.1 (serious valid reports as soon as possible and in no case later than 15 calendar days after initial receipt), VI.C.2.2 (the holder shall ensure that any information on adverse reactions suspected to be related to at least one of the active substances of its products authorised in the EU is brought to its attention by any company outside the EU belonging to the same mother company or group of companies; the same applies where the holder has concluded a commercial agreement with a company outside the EU for one of its products authorised in the EU; the clock for the submission starts when a valid report is first received by one of these companies outside the EU; traceability and follow-up mechanisms while complying with the data protection legislation) and VI.C.3 (15 and 90 days under Art. 107(3) and Art. 107a(4) of the Directive (n 2)).
08
International Council for Harmonisation, 'E2D(R1) Post-Approval Safety Data: Definitions and Standards for Management and Reporting of Individual Case Safety Reports' (ICH Harmonised Guideline, Step 4, 15 September 2025), section 5.2 (expedited reports as soon as possible and not later than 15 calendar days after day zero; the regulatory reporting time clock is considered to start on the date when any personnel of the MAH, including third parties such as service providers and other contractual partners acting on behalf of the MAH, obtains sufficient information to determine that a case report fulfils the minimum criteria for reporting; that date should be considered day zero unless otherwise specified by regional or local requirements) and section 6.5 (contractual agreements between MAHs and third parties who would foreseeably receive safety information, and between MAHs and other companies marketing products with the same active substance, should specify the management and reporting of individual case safety reports, including timelines and regulatory reporting responsibilities, and avoid duplicate reporting; whatever the nature of the agreements, the MAH is ultimately responsible for reporting within the required timelines, so the contractual partners should minimise the data exchange period). Adopted in the EU as EMA/CHMP/ICH/59123/2024 (Step 5; final adoption by the CHMP 18 September 2025; in effect 18 March 2026) and issued by the FDA as 'E2D(R1) Post-Approval Safety Data: Definitions and Standards for Management and Reporting of Individual Case Safety Reports' (Guidance for Industry, March 2026, docket FDA-2024-D-0803), superseding the FDA's guidance of September 2003 on the earlier version. That earlier version, 'E2D Post-Approval Safety Data Management: Definitions and Standards for Expedited Reporting' (Step 4, 12 November 2003), carried the same allocation in its section 3.3 (contractual agreements) and treated the date when any personnel of the MAH first receive a qualifying report as day 0.
09
Swissmedic, 'Drug Safety Reporting Duties in Switzerland' (Merkblatt MU101_20_004e_MB, Version 5.0, 1 November 2025), section 1 (all serious, and all non-serious and unexpected, adverse drug reactions occurring in Switzerland; 15 days for serious reactions and for clusters, 60 days for non-serious unexpected reactions; electronic submission in the ICH E2B format through the ElViS portal or the E2B gateway; a medical assessment expected in each report; and the instruction not to send other than domestic reports). Swissmedic, 'Wegleitung Arzneimittelsignale HAM' (MU101_20_001d_WL, Version 10.0, 1. Februar 2026), section 5.3.1 (signals and safety- and efficacy-related procedures evaluated by the foreign authorities EMA, FDA or MHRA that concern products authorized or under authorization in Switzerland are reportable signals), section 5.3.1.1 (where they qualify as emerging safety issues, notification within 5 days at the latest where short-term measures are needed and within a maximum of 15 days where other serious risks are insufficiently reflected in the product information, per Art. 62(2)(a) and (b) VAM (n 6), for both the opening and the closure of the signal or procedure), sections 5.3.1.1.1 and 5.3.1.2.1 (day 0 for FDA, MHRA and other authorities is the holder's knowledge; for EMA signals, at the latest the publication of the CHMP or PRAC meeting highlights or of the PRAC recommendations), section 5.3.1.2 (for signals and referrals without serious hazard potential, Swissmedic is to be informed of the closure of the evaluation within 90 days) and section 5.3.2 (risk-minimizing measures ordered by the EMA in PSUR or PSUSA procedures for an active substance authorized in Switzerland, within 90 days of the EMA's publication of the outcome).
10
FDA, 'Providing Postmarketing Periodic Safety Reports in the ICH E2C(R2) Format (Periodic Benefit-Risk Evaluation Report)' (Guidance for Industry, November 2016), describing how an applicant may use the PBRER format in place of the periodic adverse drug experience report or periodic adverse experience report required by 21 C.F.R. § 314.80(c)(2) or § 600.80(c)(2), on the basis of a waiver under 21 C.F.R. § 314.90 or § 600.90. International Council for Harmonisation, 'E2C(R2) Periodic Benefit-Risk Evaluation Report' (Step 4, 17 December 2012), which Anhang 3 VAM (n 6) designates as the Swiss rule for the periodic report under Art. 60 VAM. Directive 2001/83/EC (n 2), Art. 107b and Art. 107c.
11
Regulation (EC) No 726/2004 of the European Parliament and of the Council of 31 March 2004 laying down Community procedures for the authorisation and supervision of medicinal products for human and veterinary use and establishing a European Medicines Agency [2004] OJ L136/1, Art. 24 (the Eudravigilance database), Art. 27 (monitoring of selected medical literature by the Agency for a list of active substances), Art. 28(1) and (2) (the obligations in Art. 107, Art. 107a, Art. 107b and Art. 107c of Directive 2001/83/EC (n 2) apply to centrally authorised products), Art. 82(1) (a single marketing authorisation per applicant for a given product, save for objective verifiable reasons relating to public health or for co-marketing reasons), Art. 84 (penalties determined by the Member States) and Art. 84a (financial penalties imposed by the Commission on the holders of centrally granted authorisations for failure to comply with the obligations listed in Annex II, which include, at points 11, 14 and 15, the operation of a comprehensive pharmacovigilance system with a quality system, a master file and regular audits, the recording and reporting of suspected adverse reactions, and the submission of periodic safety update reports; a fine not exceeding 5 % of the holder's Union turnover in the preceding business year for an intentional or negligent failure, and periodic penalty payments not exceeding 2.5 % of average daily Union turnover while the failure continues; under Art. 84a(2), insofar as specifically provided for in the delegated acts referred to in Art. 84a(10)(b), the penalties may also be imposed on a legal entity forming part of the same economic entity as the holder that exerted a decisive influence over it or was involved in, or could have addressed, the failure). Art. 84a and Annex II were inserted by Regulation (EU) 2019/5 of the European Parliament and of the Council of 11 December 2018 [2019] OJ L4/24, Art. 4(1) of which provides that Commission Regulation (EC) No 658/2007 of 14 June 2007 concerning financial penalties for infringement of certain obligations in connection with marketing authorisations [2007] OJ L155/10 remains in force and continues to apply unless and until repealed.
12
Swissmedic, 'FAQs: General Pharmacovigilance', entry 'The «qualified person responsible for pharmacovigilance» in Switzerland: What conditions apply?' (last updated 1 January 2019: the holder or manufacturer must designate a qualified person responsible for complying with the reporting duties and inform Swissmedic of that person's name on request; qualified means very good knowledge of pharmacovigilance, with documentation and certificates produced on request; the person does not necessarily have to belong to the company, but the responsibilities must be set out in writing; the person does not necessarily have to reside in Switzerland, but name and address must be notified to Swissmedic on request; referring to Art. 12 AMBV and Art. 65 VAM (n 6)) and entry 'What rules apply in Switzerland to the contactability of the person responsible for pharmacovigilance (PV)?' (last updated 17 February 2016: the person responsible or a deputy must be contactable at least during business hours on Swiss working days; outside those times an on-call service is recommended so that a suitably qualified person is reachable in emergencies).
13
Council compromise text for a Directive of the European Parliament and of the Council on the Union code relating to medicinal products for human use and repealing Directive 2001/83/EC and Directive 2009/35/EC, Council doc ST-6367/26 (6 March 2026) (EU Pharma Package Directive, compromise text), Art. 99(4) to (7) (the holder's pharmacovigilance system: a qualified person residing and operating in the Union; a master file made available on request; a contact person in a Member State on request; procedures to ensure continued compliance with the holder's pharmacovigilance tasks for an appropriate period, approved by the competent authority, after a marketing authorization has been withdrawn or revoked), Art. 105(1), (3) and (6) (recording of all suspected adverse reactions in the Union or in third countries brought to the holder's attention, including data on suspected adverse reactions from use outside the terms of the authorization; the 15-day and 90-day clocks retained; the Article applied mutatis mutandis to undertakings supplying medicinal products under the Art. 3 exceptions), Art. 105a (wholesale distributors that distribute medicinal products in accordance with Art. 162(3) to (5), that is, products obtained in a source Member State and distributed in a destination Member State, shall record all suspected adverse reactions with regard to those products brought to their attention, including from use outside the terms of the authorization, and shall transmit those reports immediately to the holder of the marketing authorization in the source Member State), Art. 188(7)(c) (inspection of the premises, records, documents and master file of the holder or of any undertaking employed by the holder to perform the activities described in Chapter IX) and Art. 219(1) (transposition and application of the national provisions at bracketed dates set in the operative drafting at twenty-four months after entry into force). Council compromise text for a Regulation of the European Parliament and of the Council laying down Union procedures for the authorisation and supervision of medicinal products for human use and establishing rules governing the European Medicines Agency, Council doc ST-6366/26 (6 March 2026) (EU Pharma Package Regulation, compromise text), Art. 172 (Union penalties, carrying forward the 5 % and 2.5 % ceilings and the same-economic-entity extension of Art. 84a of Regulation (EC) No 726/2004 (n 11)). Both texts were approved by the European Parliament's Committee on Public Health on 18 March 2026 and, as of publication, awaited the Council's first-reading position and a plenary vote, with formal adoption expected in the autumn of 2026.
14
Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation) [2016] OJ L119/1 (GDPR), Art. 4(15) (data concerning health), Art. 6(1)(c) (processing necessary for compliance with a legal obligation to which the controller is subject), Art. 9(1) (prohibition on processing data concerning health), Art. 9(2)(i) (the prohibition does not apply where processing is necessary for reasons of public interest in the area of public health, such as ensuring high standards of quality and safety of health care and of medicinal products or medical devices, on the basis of Union or Member State law which provides for suitable and specific measures to safeguard the rights and freedoms of the data subject, in particular professional secrecy) and Art. 44 to 46 (transfers to third countries on the basis of an adequacy decision or subject to appropriate safeguards, including standard data protection clauses).
15
Commission Implementing Decision (EU) 2023/1795 of 10 July 2023 pursuant to Regulation (EU) 2016/679 of the European Parliament and of the Council on the adequate level of protection of personal data under the EU-US Data Privacy Framework [2023] OJ L231/118, recitals 58 to 60 (the independence of the Federal Trade Commission, whose five commissioners may be removed by the President only for inefficiency, neglect of duty or malfeasance in office). Trump v. Slaughter, No. 25-332 (US Supreme Court, 29 June 2026), overruling Humphrey's Executor v. United States, 295 U.S. 602 (1935), and holding that the Federal Trade Commission exercises executive power and that its commissioners are subject to the President's power of removal. European Data Protection Board, letter of the Chair, Anu Talus, to Commissioner Michael McGrath, 'US Supreme Court judgment Trump v. Slaughter' (Brussels, 31 July 2026), noting that the existence and effective functioning of independent supervisory authorities is one of the key elements of an adequacy assessment under Art. 45(2)(b) GDPR (n 14), that the adequacy decision explicitly refers to the independence of the FTC, and asking the Commission to closely assess whether the judgment affects the functioning of Implementing Decision (EU) 2023/1795, welcoming relevant actions including the continued sharing of information with the EDPB.
16
Bundesgesetz über den Datenschutz (Datenschutzgesetz, DSG) vom 25. September 2020 (SR 235.1), in force 1 September 2023, Art. 5(c) (data on health among the besonders schützenswerte Personendaten), Art. 16(1) and (2) (personal data may be disclosed abroad where the Federal Council has determined that the legislation of the state concerned guarantees adequate protection; otherwise where appropriate protection is guaranteed by an international treaty, by data protection clauses in a contract notified in advance to the EDÖB, by specific guarantees drawn up by the competent federal body, by standard data protection clauses approved, issued or recognized in advance by the EDÖB, or by binding corporate rules approved in advance), Art. 17 (exceptions, including the data subject's express consent and disclosure necessary to safeguard an overriding public interest) and Art. 24 (notification of data security breaches to the EDÖB). Verordnung über den Datenschutz (Datenschutzverordnung, DSV) vom 31. August 2022 (SR 235.11), Anhang 1 (the list of states, territories, sectors and international bodies with adequate protection; for the United States, an adequate level of protection is deemed guaranteed for personal data processed by organizations certified in accordance with the principles of the Swiss-US Data Privacy Framework, on the basis of the guarantees provided by Executive Order 14086 of 7 October 2022, the Attorney General's regulation on the Data Protection Review Court of the same date and the intelligence community's directive of 6 December 2022, and of the designation of Switzerland on 7 June 2024 as a state benefiting from the two-tier redress mechanism), a listing that took effect on 15 September 2024.
17
21 U.S.C. § 355(k)(1) (section 505(k)(1) of the Federal Food, Drug, and Cosmetic Act: the applicant shall establish and maintain such records, and make such reports to the Secretary, of data relating to clinical experience and other data or information received or otherwise obtained by the applicant with respect to the drug, as the Secretary may prescribe by regulation or order), § 331(e) (section 301(e): the failure to establish or maintain any record, or make any report, required under section 505(k) is a prohibited act) and § 333(a)(1) and (2) (section 303(a): imprisonment for not more than one year or a fine of not more than USD 1,000, or both; after a prior conviction or with intent to defraud or mislead, imprisonment for not more than three years or a fine of not more than USD 10,000, or both). Regulation (EC) No 726/2004 (n 11), Art. 84a. HMG (n 5), Art. 87(1)(c) and (3) and Art. 89.

Where one product answers to the FDA, EudraVigilance and Swissmedic through a chain of licensees, distributors and vendors, the allocation of pharmacovigilance tasks, clocks and audit rights across that chain is a matter for tailored analysis.

Get in Touch