How to File a VAERS Report

Empower yourself. Reporting adverse events is the only way to create a public record of vaccine injuries.

VAERS: The People's Safety Signal

Why Report?

The Vaccine Adverse Event Reporting System (VAERS) is the nation's early warning system. It is estimated that less than 1% of vaccine injuries are ever reported. By filing a report, you are helping to uncover safety signals that might otherwise be ignored. You do not need a doctor's permission to file.

Step 1: Gather Information

Before you start, have the following information ready. The form will time out after 20 minutes of inactivity, so preparation is key.

Patient Details
  • Date of Birth
  • Age at vaccination
  • Sex
  • Current illness/medications
  • Allergies
Vaccine Info
  • Vaccine Brand Name (e.g., Pfizer, Moderna)
  • Lot Number (Crucial for tracking bad batches)
  • Dose Number (1st, 2nd, Booster)
  • Date & Time of Vaccination
  • Injection Site (e.g., Left Arm)
Adverse Event Details
  • Date & Time symptoms started
  • Description of symptoms
  • Doctor visits or hospitalizations
  • Lab results or diagnosis (if any)
  • Recovery status

Step 2: File the Report

You have two options for filing. We strongly recommend Option 1 (Online) for immediate submission.

Option 1: Online Submission (Recommended)
Fastest method. Receive a temporary ID immediately.
  1. Go to the official VAERS online reporting tool.
  2. Follow the on-screen prompts to enter patient, vaccine, and adverse event data.
  3. Review your information carefully.
  4. Submit and save your VAERS ID number immediately.
Option 2: Writable PDF
Best if you need more time or have unstable internet.
  1. Download the writable PDF form from the VAERS website.
  2. Fill it out on your computer at your own pace.
  3. Return to the upload page to submit the completed file.

Step 3: What Happens Next?

1

Confirmation

You will receive a confirmation email (if provided) or a letter by mail with your permanent VAERS ID number.

2

Public Record

Your report (anonymized) will eventually be added to the public VAERS database, allowing researchers to see the data.

3

Follow-up

The CDC or FDA may contact you for more medical records if the reaction was severe (hospitalization, disability, death).

Important Legal Note

Filing a VAERS report is NOT the same as filing a claim for compensation. If you are seeking financial compensation for a vaccine injury, you must file a separate petition with the National Vaccine Injury Compensation Program (VICP). There is a strict statute of limitations (usually 3 years from symptom onset).