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Prototype only — this site uses synthetic data and is not connected to the real VAERS or CDC systems.

VAERSVaccine Adverse Event Reporting System

Report an Event FAQs Information & Resources Data Downloads

Report a vaccine adverse event or error

Step 1 of 11 steps for your path

The total number of steps depends on your reporting path and answers, so it can change as you go.

Step 1 of 11: Who is filing this report?

Who is filing this report?

Step 1 of 11

Who is filing this report?

Your answer changes which questions we ask. You can go back and change it at any time.

I am a member of the publicA patient, parent, caregiver or family member. We will use everyday language and keep the questions short.I am a healthcare providerA clinician, nurse, pharmacist or facility staff member. Includes administration-error reporting and document upload.

VAERS Prototype

A redesign concept using synthetic data. Not affiliated with, and not connected to, the live VAERS or CDC systems.

Sections

Report an event
FAQs and help
Data downloads
Content administration

Urgent medical help

This form is not for emergencies. If someone needs immediate care, call 911 or go to the nearest emergency department.

Prototype interface · Synthetic data only · Designed with Section 508 accessibility in mind