Medical Information Request

Complete the form below to submit your medical request. Our Medical Information team will respond to your request as soon as possible.
This request form is intended for U.S. healthcare professionals (HCPs).

Please note that Medical Information Requests regarding COMIRNATY® (COVID-19 Vaccine, mRNA) submitted outside of Germany or Turkey, should be directed to the appropriate country contact which can be found on this website.

First Name

Surname

Street Address

Zip Code

City

Country

Nothing found

Phone

Are you a healthcare professional?

Nothing found

Type Of Health Care Professional

Nothing found

Request

Details of Request

Our Privacy Notice outlines how we process your personal information when dealing with your request, including the information about your rights and how to exercise them.