Thank you for your enquiry. It seems other companies may be facing the same issue which may be due to the high demands at this time. If you had not previously registered to send ICSRs/SUSARs directly to the MHRA prior to November 2017 and have followed the MHRA registration process to register your company Routing ID and configuration set up, the MHRA should email back once they have performed their manual review. We suggest you contact the MHRA via the phone line if contacting them via email has been unsuccessful. The guidance page at the link below provides contact details and useful information for companies.