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Vaccine Adverse Event Reporting System (VAERS) Online Reporting January 23, 2003

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Vaccine Adverse Event Reporting System (VAERS). Online Reporting January 23, 2003. Submission of Supporting Documents for VAERS Reports. Examples: medical records or other clinical documentation - PowerPoint PPT Presentation

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Page 1: Vaccine Adverse Event Reporting System (VAERS)

Vaccine Adverse Event Reporting System

(VAERS)

Online ReportingJanuary 23, 2003

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Submission of Supporting Documents for VAERS Reports

• Examples: medical records or other clinical documentation

• Submit initial report electronically, then fax or mail supporting documents noting VAERS E-Report number, PVN or the unique vaccination number in the upper right hand corner of each page or on a fax cover sheet.

• Cut & paste electronic information into Box 7, 12, 17, 18, and/or 19


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