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Why was Vioxx prescribed?

Were you on Vioxx Daily or other?

What dosage of Vioxx were you prescribed (i.e., 25mg, 50mg, 75mg)?

How long have you been on Vioxx? (Start Date to End Date)

Did Effects from Vioxx Include (Heart Attack, Stroke, Deep Vein Thromobosis, Blood Clots, Pulmonary Embolism, Other)?

Nature of Treatment Received?

Name of Treating Physician?

What other Medications are you on?

How did you hear about our firm?
(where did you see the Ad)