Reporting an Adverse Event to a Vaccination

A. If you participated in the vaccination trails you have no time limit to report an adverse event.

1) Report the event to the researcher that gave you the vaccination.
2) If the researcher is unavailable or refuses to take the report then report yourself to the Company that funded the trial for Connaught call Ken Guito 570-839-4212 for SmithKline call Paula Goldberg 800-366-8900 *5231.
3) If the company does not take your report then you can report yourself via the Vaccine Adverse Event Reporting System (VAERS) see instructions below.

B. If you received a vaccination after the trial you or your doctor can report the event directly through VAERS.

To report your adverse event you will need to obtain a VAERS form. There is a toll free VAERS info line 800-822-7967 or you can download a PDF file from www.fda.gov/cber/vaers/report.htm.

For more information on the VAERS (including a CME article) go to www.fda.gov/medwatch/articles.htm.

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