A clearer way to report a vaccine adverse event.
Whether you're a parent, a patient, or a healthcare provider, this guided workflow adapts to who you are — plain-language for the public, clinical detail for providers — with help along the way so nothing gets missed.
What to have ready
For the public
Plain-language questions, no medical background assumed, and inline help for every field.
For healthcare providers
A clinical path with seriousness criteria, treatment detail, and structured coding fields.
Supporting records
Upload medical records with automatic document-type suggestions to speed up review.
Before you report
Who is filing this report?
This determines which questions you'll be asked next.
Tell us what happened
Add supporting records (optional)
Discharge summaries, vaccination cards, or lab results help reviewers act faster. We'll suggest a document type automatically — you can correct it before submitting.
Drag a file here, or click to choose one
PDF, JPG, or PNG · up to 20MB
Review before you submit
Check the details below. You can jump back to fix anything.
Report received
Thank you — this record has been logged and routed for medical review. Save this ID for your records.