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Vaers Form Print - United States Department of Health and ...
y If you are unable to submit this form electronically, you may fax it to VAERS at 1-877-721-0366. y If you need additional help submitting a report you may call the VAERS toll-free information line at 1-800-822-7967, or send an email to info@vaers.org. y Fill out the VAERS form as completely as possible and use the Continuation Page if needed ...
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Checklist of information to complete the VAERS form
vaers.hhs.govChecklist of information to complete the VAERS form (VAERS will still accept a report even if you cannot provide all this information) ... o Sex (male or female) o Date and time of vaccination o Date and time the adverse event (health problem) started o Age at vaccination o Whether the patient was pregnant at the time of vaccination and the due ...
VAERS DATA USE GUIDE
vaers.hhs.govThe downloadable VAERS public data set consists of three separate data files. These files are provided by calendar year beginning with the first VAERS reports reported in the latter part of 1990. The public data set is updated periodically, and the date of the update is referenced on the website. We currently accept the 2 versions of the
VAERS Table of Reportable Events Following Vaccination ...
vaers.hhs.govUSC 300aa-25) to the Vaccine Adverse Event Reporting System (VAERS) including conditions found in the : manufacturer package insert. In addition, healthcare professionals are encouraged to report any clinically . significant or unexpected events (even if not certain the vaccine caused the event) for any vaccine, whether or
VAERS Data Use Guide
vaers.hhs.govVAERS data is accessible by two mechanisms: by downloading raw data in comma-separated value (CSV) files for import into a database, spreadsheet, or text editing program, or by use of the CDC WONDER online search tool. The downloadable VAERS public data set consists of three separate data files. These files are provided by
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