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This document outlines the procedure for reporting adverse events following vaccination, including patient information, symptoms, and treatment. It is intended for health care providers and vaccine
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How to fill out VAERS-1

01
Obtain a VAERS-1 form from the official VAERS website or local health department.
02
Fill in the patient's information, including name, date of birth, and contact details.
03
Provide details about the vaccine received, including the vaccine type, lot number, and date of administration.
04
Describe the adverse event experienced, including symptoms, duration, and severity.
05
Include any additional relevant medical history or context that may assist in assessing the report.
06
Review the completed form for accuracy and completeness.
07
Submit the VAERS-1 form online or via mail as directed on the form.

Who needs VAERS-1?

01
Individuals who have experienced adverse effects after vaccination.
02
Healthcare providers reporting vaccine-related injuries or reactions.
03
Public health officials monitoring vaccine safety and efficacy.
04
Researchers studying the impact of vaccines on public health.
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Vaccines, like any medical product, can have side effects. Side effects reported after COVID-19 vaccination vary from person to person. Most common side effects are usually mild, such as soreness in the area where the shot was given.
VAERS data is accessible by downloading raw data in comma-separated value (CSV) files for import into a database, spreadsheet, or text editing program, or by using the CDC WONDER online search tool.
The objectives of VAERS are to 1) detect new, unusual, or rare vaccine adverse events; 2) monitor increases in known adverse events; 3) determine patient risk factors for particular types of adverse events; 4) identify vaccine lots with increased numbers or types of reported adverse events; and 5) assess the safety of
Established in 1990, the Vaccine Adverse Event Reporting System (VAERS) is a national early warning system to detect possible safety problems in U.S.-licensed vaccines.
VAERS is a publicly available, searchable database of reports that have not been verified. It simply contains whatever people have voluntarily reported. Moreover, the CDC and FDA do not restrict what people can report, as long as it happened at some point following a vaccination.
Anyone can report adverse events — including patients, caregivers, healthcare providers and vaccine manufacturers. Healthcare providers and vaccine manufacturers have specific reporting requirements. VAERS data (without patient-identifying information) are available to the public through CDC's VAERS WONDER system.

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VAERS-1 is the Vaccine Adverse Event Reporting System form used to report adverse events after vaccination.
Healthcare providers, vaccine manufacturers, and anyone who witnesses or experiences an adverse event following vaccination are encouraged to file VAERS-1.
VAERS-1 can be filled out online through the VAERS website, or by downloading a paper form, completing it, and submitting it via mail or fax.
The purpose of VAERS-1 is to monitor the safety of vaccines by collecting reports of adverse events to identify potential safety issues.
VAERS-1 requires reporting of information such as the patient's demographics, vaccination details, the nature of the adverse event, and any relevant medical history.
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