TO REPORT AN ADVERSE EVENT FOLLOWING VACCINATION

The Vaccine Adverse Event Reporting System (VAERS) is a cooperative program for vaccine safety of the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA). VAERS is a post-marketing safety surveillance program, collecting information about adverse events (possible side effects) that occur after the administration of US licensed vaccines. Reports are welcome from all concerned individuals and organizations.

2009 VAERS Brochure:
English (PDF - 2.96 MB) Español (PDF - 2.16 MB)

To file a report: Report to VAERS online at https://secure.vaers.org.
Or to Enter Data Offline: You may obtain more information about the VAERS Program and download printable copies of the VAERS form from the following Internet Sites:

1. The VAERS Web site at http://vaers.hhs.gov. Download a copy of the VAERS form (PDF 23K).
2. The Food and Drug Administration's Web site at http://www.fda.gov/cber/vaers/vaers.htm.
3. The Centers for Disease Control and Prevention Web site at http://www.cdc.gov/vaccines.

Submissions by mail may be sent to:

Vaccine Adverse Event Reporting System
P.O. Box 1100
Rockville, MD 20849-1100

For additional information on VAERS or vaccine safety, visit the VAERS website at http://vaers.hhs.gov or call 800-822-7967.