Vaccine Injury Reporting System

Anonymous and confidential reporting

🔒 Your Privacy Matters

We collect minimal information. No names, ID numbers, or exact addresses required. All data is encrypted and stored securely for 5 years.

Email Verification (Required)

To prevent spam and bots, we require email verification. Your email will be hashed for privacy.

Email Address *

""

Basic Information

Country * Relationship to Patient * Patient Age Range * Patient Gender * Region (Optional)

Vaccine Information

Vaccine Type * Dose Number * Time Since Vaccination *

Adverse Event Details

Search Symptoms/Adverse Events *

Start typing to search from a comprehensive list of known adverse effects

Additional Details (Optional) Severity * Medical Attention Received