Report a reaction after a vaccination
A faster, guided way to file a VAERS report — on any device, in English or Spanish. We ask only what applies to you, save your progress as you go, and help at every step.
Never lose your work
Progress saves automatically — no 20-minute timeout wiping your report.
Only what applies
Branching questions skip fields that don't fit your situation.
Help in context
Plain-language tips and assistance right where you need them.
Built for everyone
Mobile-first, Section 508 accessible, English and Spanish.
Who is filing this report?
We tailor the questions and wording to you. You can change this later.
The vaccination
Need a hand?
Ask in plain words — "where's my lot number?" or "what counts as a reaction?" — and get an answer without leaving this page. This is a design mockup; in the delivered application, any assistant would run inside CDC's approved secured environment.
Documents & records
Attach medical or vaccine records related to the reaction. Optional — you can also add documents later.
Only what's needed
Phase 1 accepts medical and vaccine records. The tool checks what you've told us and suggests documents that fill the gaps — nothing more.
Report saved
This is a design mockup — no real report was submitted. In the live app, you'd get a confirmation number and clear next steps.
- Reporter type
- Time to complete
- 4 min 12 sec
- Fields skipped by branching
- 0
- Autosaves
- 7