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Injury
Connector
Which of the following applies to you?
Select the product or medication involved.
Ozempic / Weight Loss Drug
Wegovy, Mounjaro, GLP-1 medications
Hair Relaxer
Chemical hair relaxer or straightener
Talcum Powder
Johnson's Baby Powder or similar
Roundup / Weed Killer
Glyphosate-based herbicide
Paraquat Herbicide
Paraquat dichloride exposure
AFFF Firefighting Foam
Military or airport firefighter exposure
PFAS / Water Contamination
Contaminated water supply
Paragard IUD
Broken or migrated device
Depo-Provera
Birth control injection
CPAP Machine
Philips CPAP/BiPAP recall
Suboxone
Dental damage or decay
Baby Formula (NEC)
Premature infant, cow's milk formula
Other product or medication
Not listed above
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