Nationwide Wellbutrin® Lawsuit

Houston
3200 Travis : 3rd Floor
Houston, TX 77006
(713) 529-0025
(713) 751-0412 (fax)

Galveston
(409) 762-9090

Toll Free
888-529-4688

andrewsteinberg@lawyer.com
www.thesteinberglawfirm.com

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Free Case Review
Fill out the form below if you need additional information or want to discuss a potential claim with an attorney. All inquiries are kept strictly confidential.

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Contact Information
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Case Information

Name of Wellbutrin® User

Date of birth of Wellbutrin® patient (mm/dd/yyyy)

When did you start taking Wellbutrin®?

Before Pregnancy
During 1st Trimester (Months 1-3)
During 2nd Trimester (Months 4-6)
During 3rd Trimester (Months 7-9)
After Pregnancy

Were you taking Wellbutrin® during the first 3 months of pregnancy?

Yes No

Name of child with birth defect

When was your baby born?

What congenital or birth injuries did your baby have?

Ventricular Septal Defect (VSD)
Atrial Septal Defect (ASD)
Trilogy of the Fallot
Tricuspid or Mitral Heart Valve Defect
Hole in Heart Wall
Hypoplastic Left Heart Syndrome
Hypoplastic Right Heart Syndrome
Transposition or Great Arteries
Cranial Skull (Craniosyntosis)
Persistent Pulmonary Hypertension (PPHN)
Abdominal Wall Defect (Omphalocele)
Required Heart Surgery or Transplant
Pulmonary Atresia
Gastroschisis (stomach / intestines on outside of body)