Vaccine Adverse Event Reporting System (VAERS)

Page 1 <img data-url='document/vaccine-adverse-event-reporting-system-vaers.html?page=1' data-page='1' class='cut-thumb lazyload' alt='Page 1: Vaccine Adverse Event Reporting System (VAERS)' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader031.cupdf.com/reader031/viewer/2022013112/56812f6d550346895d94f4e6/html5/thumbnails/1.jpg' width='140' height='200' /> Vaccine Adverse Event Reporting System

(VAERS)

Online ReportingJanuary 23, 2003

Page 2 <img data-url='document/vaccine-adverse-event-reporting-system-vaers.html?page=2' data-page='2' class='cut-thumb lazyload' alt='Page 2: Vaccine Adverse Event Reporting System (VAERS)' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader031.cupdf.com/reader031/viewer/2022013112/56812f6d550346895d94f4e6/html5/thumbnails/2.jpg' width='140' height='200' /> Page 3 <img data-url='document/vaccine-adverse-event-reporting-system-vaers.html?page=3' data-page='3' class='cut-thumb lazyload' alt='Page 3: Vaccine Adverse Event Reporting System (VAERS)' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader031.cupdf.com/reader031/viewer/2022013112/56812f6d550346895d94f4e6/html5/thumbnails/3.jpg' width='140' height='200' /> Page 4 <img 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data-url='document/vaccine-adverse-event-reporting-system-vaers.html?page=12' data-page='12' class='cut-thumb lazyload' alt='Page 12: Vaccine Adverse Event Reporting System (VAERS)' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader031.cupdf.com/reader031/viewer/2022013112/56812f6d550346895d94f4e6/html5/thumbnails/12.jpg' width='140' height='200' /> Page 13 <img data-url='document/vaccine-adverse-event-reporting-system-vaers.html?page=13' data-page='13' class='cut-thumb lazyload' alt='Page 13: Vaccine Adverse Event Reporting System (VAERS)' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader031.cupdf.com/reader031/viewer/2022013112/56812f6d550346895d94f4e6/html5/thumbnails/13.jpg' width='140' height='200' /> Submission of Supporting Documents for VAERS Reports

• Examples: medical records or other clinical documentation

• Submit initial report electronically, then fax or mail supporting documents noting VAERS E-Report number, PVN or the unique vaccination number in the upper right hand corner of each page or on a fax cover sheet.