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Health Care Provider Information
 Health Care Providers
Vaccine Information
Resources for Providers
Influenza
 Forms
Forms
- VAERS Form (pdf) (23K)
Adverse events following immunization should be reported by public providers to the Immunization Program, Health Services, using a Vaccine Adverse Events Reporting System form (VAERS), according to state guidelines. Private providers report all adverse events directly to VAERS.
VAERS telephone number is 800-822-2967, and the website address is www.vaers.hhs.org
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