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VAERSAware.com

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Find My VAERS Report (Request)

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Email*

Temporary ID# given at submission

Age (years old at submission or D.O.B. or MM/YY)

Gender

State Administered

Covid-19 Manufacturer Vax Type

Pfizer

Moderna

J&J-Janssen

Novavax

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Batch Number(s)

Vax Date(s)

Onset Date

Date of Death

Date Originally Submitted

Event Level(s)

Office Visit

Emergency

Hospitalization

Life Threatening

Birth Defect/Anomaly

Permanent Disability

Death

Unknown

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Symptom(s) and/or Diagnosis(s)

Summary Narrative

Write what may have been submitted by yourself or the provider...

Additional Notes or clues you'd like to tell the researcher handling your request

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