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Prototype for evaluation only. Use synthetic data. Do not enter real patient information.

Who is reporting?

  1. Who is reporting?
  2. About the patient
  3. About you
  4. The vaccine
  5. What happened
  6. Health history
  7. A few more questions
  8. Review and submit

Step 1 of 8

Who is reporting? *
This changes the wording and the questions you see. It does not change what VAERS receives.

Common questions about this step