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Immunization Information System Data Requirement Form COVID-19 Vaccine Administration This form can be used in the rare instances when you are unable to access your jurisdictions IIS due to technical
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How to fill out vaers - report an

01
To fill out a VAERS report, follow these steps:
02
Go to the VAERS website or use the online reporting tool.
03
Provide your contact information.
04
Answer questions about the person who experienced the adverse event, such as age, gender, and health status.
05
Describe the adverse event in detail, including symptoms and any medical treatment provided.
06
Provide information about the vaccine received, including the name, dose, and date of administration.
07
Submit the report.
08
You may be contacted for additional information or clarification if needed.

Who needs vaers - report an?

01
Anyone can report an adverse event to VAERS if they suspect it is related to a vaccine.
02
Healthcare providers, vaccine manufacturers, and individuals who have received vaccinations are encouraged to report.
03
Reporting adverse events to VAERS is important for monitoring vaccine safety and identifying potential risks.
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VAERS (Vaccine Adverse Event Reporting System) is a national system for monitoring the safety of vaccines.
Healthcare providers, vaccine manufacturers, and the public are required to file VAERS reports.
VAERS reports can be filled out online or by calling the VAERS hotline.
The purpose of VAERS is to monitor and investigate adverse events following vaccination.
Information such as patient demographics, vaccine administered, and details of the adverse event must be reported on VAERS.
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