Conclusion Vaccine. First, you must understand that, as I alluded to above, VAERS isnt intended to give an accurate estimate of the frequency of various adverse events after vaccination. Still, its limitations aside, VAERS has its place if you understand its intended purpose. He remains permanently disabled. Nevertheless, VAERS rates have been estimated to represent 5% to 10% of the true figure of adverse reactions. A VAERS report was filed January 30, 2000. MMWR Surveill Summ. cases were reported to VAERS. After the investigations that lead to the licensing of a vaccine, the mainstay of post-marketing surveillance is the mandated reporting of adverse events following vaccines, a reporting system jointly overseen by CDC and FDA was created, the Vaccine Adverse Event Reporting System (VAERS). months old, when suspicion for vaccine adverse effects should be The U.S. RAVKINA LI, MATSEVICH GR: Morphological changes in the central nervous system in post-vaccinal encephalomyelitis developing after chickenpox vaccination in children. Many physicians consider vaccination extremely safe and parents or patients are not provided with information regarding potential adverse outcomes. and sudden infant death syndrome (SIDS). The Vaccine Adverse Event Reporting System or VAERS is being misused by anti-vaxxers to terrify the public. During Still, it's a good way to detect safety signals that weren't detected during premarket testing or clinical trials . Vaccine. Her physician recommended prompt vaccination and she received a first dose of varicella vaccine on May 18, 1998. ) Of course, whenever you see these sorts of numbers, two questions should come straight to you mind right away. anti-covid. While the CDC and FDA disclaimers go to great lengths to point out that reports within VAERS are not verified causal claims, in a world where users absorb headline information and where small-scale disinformation campaigns have been shown to have calamitous consequences, one must question whether publishing VAERS vaccine data in its current form achieves more harm than good. Two months later on May 13, 2004 he had still another recurrence with moderate pain, in the same location as previously mentioned. Methods: We estimated VAERS reporting rates following vaccination for anaphylaxis and GBS. Overview of the ESP:VAERS project . The reason he is concerned is that this is in contrast to the last five flu seasons, over the course of which there have been 119 reports of deaths to VAERS among people who received a seasonal flu vaccine. The only old antivaccine lie or distortion that I havent seen used against COVID-19 vaccines yet is the claim that they cause autism or sudden infant death syndrome. VAERS is a publicly available, searchable database of reports that have not been verified. Case A It's a shame because VAERS plays a vital role in detecting important but rare reactions caused by vaccines. It is bewildering, therefore, She was admitted to a hospital for rehydration after losing 12 lbs or more than 10% of her previous healthy weight. So how are antivaxxers weaponizing VAERS? 2006 the published KD incidence for U.S. children under 5 rose from 11.0 That study is titled Electronic Support for Public HealthVaccine Adverse Event Reporting System (ESP:VAERS), and it is the final report of a grant given to Harvard Pilgrim Health Care, Inc. (1995) 13(4):340-342. As of today, the online database alleges 1349 U.S. deaths attributable to COVID-19 vaccines. Examples abound, including antivaxxers claiming that COVID-19 vaccines cause female infertility, reprogram your DNA, are unnecessary because COVID-19 is not deadly, and even kill, particularly the elderly. As I will show, antivaxxers are playing an old game with new vaccines. . By the FDAs own definition, the vaccines are still considered experimental until fully licensed. HHS states on the VAERS website that one of the system's main limitations is underreporting, noting that "VAERS receives reports for only a small fraction of actual adverse events." Further, VAERS . Maybe only 10% are being reported. In a July 13 letter to health agency leaders, Johnson noted a press conference he . That claim is based on an old study about drug reactions and was not specific to vaccines. Nevropatol. 284 0 obj <> endobj How can public Likewise, fewer than 1% of vaccine adverse events are reported.. Information needs to be . No, seriously, look at the stupidity on display here: For over three weeks, the website of the US government Vaccination Adverse Reporting System (VAERS) has been inaccessible to most users. Background: Reporting of adverse events (AEs) following vaccination can help identify rare or unexpected complications of immunizations and aid in characterizing potential vaccine safety signals. VAERS is a passive reporting system, meaning that reports about adverse events are not automatically collected, but require a report to be filed to VAERS. The problem is that the natural human tendency to seek patterns, coupled with the way antivaccine lawyers game VAERS by having their clients report all sorts of spurious adverse events to the database after vaccination, means that VAERS is a very noisy, distorted, and unreliable database. Data are updated on a monthly basis. The rash slowly subsided but left scars. VAERS is the primary mechanism for reporting adverse vaccine reactions in the U.S. Reports submitted to VAERS require further investigation before confirmation can be made that an adverse event was linked to a vaccine. J. Pediatr. So, roughly the baseline death rate is roughly 2.4/100,000 per day. the 18-year period from 1990 through 2007 just 88 cases of Kawasaki For GBS, VAERS captured 12% of cases after the 2012-13 inactivated seasonal influenza vaccine, 15-55% of cases after the 2009 H1N1 inactivated pandemic influenza vaccine, and 64% of cases after 4vHPV vaccine. During the same period about 88 million U.S. children passed through the 0-5 age group; Maintained/created by: Centers for Disease Control, Food and Drug AdministrationWebsite: http://vaers.hhs.gov/data/indexGeographic unit of data: U.S National, U.S. State, Keywords: adverse event, CDC, FDA, Reporting, side effects, vaccination, vaccine, Users can access data pertaining to clinically significant medical events that occur after vaccination in the United States. Yet the presumption of significantly higher real numbers is supported by a 2010 Harvard Pilgrim study which found that "fewer than 1% of vaccine injuries" are reported on VAERS. Disclaimer 5. Examples abound, including a study claiming to find a link between the H1N1 vaccine and miscarriages or one of the earliest examples that I ever encountered, Mark and David Geiers epically bad study trying to link thimerosal-containing vaccines to autism. 2022 Jul 26;23(15):8235. doi: 10.3390/ijms23158235. Its a specific skill that requires deep knowledge of conspiracy theories and the specific tactic and tropes used by science denialists and conspiracy theorists like antivaxxers, coupled with a deep understanding of the scientific literature on vaccines. Baton Rouge Louisiana RN Whistleblower on Underreporting of Serious Adverse Effects of Covid Vaccines; Letter to US Senator Johnson: . The reason, to reiterate, is that VAERS is unique among US vaccine safety reporting systems in that it is a passive surveillance system. So far, only the Pfizer and Moderna vaccines have been granted Emergency Use Authorization in the U.S. by the U.S. Food and Drug Administration (FDA). 8. J. Ophthalmol. The coalition formed . whether or not they believe the vaccination was the cause. Her joint pains became episodic but more intense during the attacks and she experienced some muscle weakness on and off. We developed an open-source, generalizable clinical decision support system called Electronic Support for Public Health-Vaccine Adverse Event Reporting System (ESP-VAERS) to assist clinicians with AE . high, KD incidence as reported to VAERS was 0.11 while published On the other hand, more serious and unexpected medical events are probably more likely to be reported than minor ones, especially when they occur soon after vaccination, even if they may be coincidental and related to other causes. Attackers might be trying to steal your information from www.vaers.hhs.gov (for example, passwords, messages, or credit cards). The only browser that seems to consistently connect properly is Safari, used by only around a quarter of people accessing . Never mind that, as I discussed, there was no evidence that these deaths, all of which were among very elderly nursing home residents, were caused by the vaccine and there was no evidence of an increase in the baseline mortality rate of nursing home residents in Norway, which averages around 400 per week. Users are claiming that the U.S. Centers for Disease Control and Prevention deleted reports of 6,000 deaths from the U.S. consequently the incidence rate reported to VAERS was 0.10 KD cases per Reports are accepted from anyone and can be submitted electronically at www.vaers.hhs.gov. Sharing Options. Reports of all possible associations between vaccines and adverse events (possible side At present, demand for the vaccine is high and supply is constrained, but as the U.S. hurtles toward President Bidens May 1 deadline for universal vaccine eligibility, supply may begin to outpace demand for the injection. The misuse of VAERS to demonize COVID-19 vaccines is just another example of how old antivaccine tactics and tropes have been resurrected, dressed up, and updated to be deployed against COVID-19 vaccines. Voices for Vaccines, How I Went From Dressing Up As Measles to Hoping for My COVID Vaccines, April 28, 2021. SAKAGUCHI M, YAMANAKA T, IKEDA K, SANO Y, FUJITA H, MIURA T, INOUYE S: IgE-mediated systemic reactions to gelatin included in the varicella vaccine. The National Childhood Vaccine Injury Act (NCVIA) of 1986 requires health professionals and vaccine manufacturers to report to the U.S. Department of Health and Human Services specific adverse events that occur after the administration of routinely recommended vaccines. Methods: In fact, lack of engagement by the CDC rendered the entire project pretty much null. Similarly, as expected, antivaxxers point to anecdotes of bad things happening to people after receiving the vaccine that are almost certainly coincidences and not related to the vaccine and are weaponizing them to spread fear. Basically, VAERS is a passive reporting system, in which anyone can report suspected adverse events after any vaccination to be recorded in the database. event underreporting. PMC Approximately two hours following vaccination, a transient welt developed at the injection site with a 3-inch line of lymphangitis. They don't offer great . The term, underreporting refers to the fact that VAERS receives reports for only a small fraction of actual adverse events. Children's deaths of any kind are rare, researchers noted. How can there possibly be over 16,000 reported in VAERS if nothing is going on? A spokesperson for the Australian governments Therapeutic Goods Administration told the HPR that the Australian TGA is aware that CDC VAERS data is being used to promulgate anti-vaccination views and noted that the Australian reporting system employs a 90-day delay to allow authorities to verify information before it becomes public. Twenty-eight months following varicella vaccination (October 29, 2002), he developed breakthrough chickenpox with an estimated 30 to 40 lesions that were intensely itchy. The newly installed CDC Director urged Americans to not let down their guard, saying she is scared a fourth wave of the coronavirus may batter the country before vaccinations can reach a critical mass. Symptoms represent the medical condition (s) in the adverse event description and lab data from the VAERS Report Form. The lot number associated with each vaccine is recorded in the VAERS data base. A Progressive Facade: Comparing the U.S. and Canadas Treatment of Indigenous Peoples, Bringing Down the Worlds Largest Heist: Interview with Clare Rewcastle Brown, Australian PM Details Trump Relationship, Says Obama Called Him a Lunatic. Indeed, I long ago discussed how lawyers have long gamed VAERS to support their litigation, reporting lots of cases of autism as supposedly an adverse reaction to vaccines. David H. Gorski, MD, PhD, FACS is a surgical oncologist at the Barbara Ann Karmanos Cancer Institute specializing in breast cancer surgery, where he also serves as the American College of Surgeons Committee on Cancer Liaison Physician as well as an Associate Professor of Surgery and member of the faculty of the Graduate Program in Cancer Biology at Wayne State University. However, real data transmissions of non-physician approved reports to the CDC was unable to commence, as by the end of this project, the CDC had yet to respond to multiple requests to partner for this activity. A report to VAERS generally does not prove that the identified vaccine(s) caused the adverse event described. Indeed, Facebook posts seen by the HPR with hundreds of engagements include the same verbatim instructions, copy and pasted, for users to disregard disclaimers. In other words, it would have dramatically increased both the accuracy and the number of vaccine injuries reported to VAERS. ones, especially when they occur soon after vaccination, even if they may be coincidental and related to other causes. Practically no one is going to report an adverse reaction like a sore arm or transient fever to VAERS, but you know damned well theyll report more serious ones, such as a seizure. In December, CHD and Kennedy wrote to former FDA director, Dr. David Kessler, co-chair of the COVID-19 Advisory Board and President Bidens version of Operation Warp Speed. 2020 Jul 22;38(34):5464-5473. doi: 10.1016/j.vaccine.2020.06.038. As an example, a great many of the millions of vaccinations administered each year by injection cause soreness, but relatively few of these episodes lead to a VAERS report. He remains permanently disabled. Wrensch et al. With the rollout of COVID-19 vaccines continuing apace, so are the efforts of antivaxxers to portray the vaccines as dangerous. can they dismiss placebo-controlled trials that raise serious I fully expect that, just as soon as a COVID-19 vaccine is approved for use in children, antivaxxers will start claiming that the vaccine causes autism and SIDS. ]Jw/d}n?`nGDzh,5crb?|IlO87m:8S.A);B9+k liSC`y2WW0Z=+'kv$n6I,%AMe13em1e63?d[@f=PaVkAV{2"CeU(H3'S?V;5U n3`(*9u&PY)Ug*Q&ObFMRY;Leq,*]&kIegxKw) h_2YQ)HGA&[?/f4Fkk;k&5#{@5d5KM=I&In'$v:j\C5sft4 2] 5 way the data are used by public health officials and the vaccine industry Im referring, of course, to antivaxxers resurrecting old antivaccine tropes, dusting them off, and updating them for the age of COVID. The credits awarded are as follows: CME, 2.0; CNE, 2.0; CEU, .20; CHES, 2.0; and CVE, 2.0. Bardenheier BH, Duderstadt SK, Engler RJ, McNeil MM. HHS needs a certificate that covers both vaers.hhs.gov and http://www.vaers.hhs.gov. National Library of Medicine Universal Varicella Vaccination program assumptions that (1) a single dose offered long-term immunity, and (2) there is no immunologically-mediated link between varicella incidence and herpes-zoster incidence are seriously flawed. Case D The Vaccine Adverse Event Reporting System (VAERS) database contains information on unverified reports of adverse events (illnesses, health problems and/or symptoms) following immunization with US-licensed vaccines. providers, patients, or family members. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). (I realize that that 22 million figure includes an additional week of vaccinations and does not break down how many people had received one or both doses, but this is a back-of-the-envelope) calculation. As an amusing aside, whenever I discuss VAERS, I like to recount the tale of how in 2006 Jim Laidler infamously reported to VAERS that the flu vaccine had turned him into The Incredible Hulk and VAERS accepted the report. adverse 2, 3 Reasons for clinician under-reporting might include failure to associate an acute health event to recent vaccines, lack of awareness of VAERS, the misperception that only serious events should be reported, or lack of suggest a novel finding that adults who have not had prior varicella-zoster virus (VZV) infection (including onset of chickenpox) are more likely to have gliomas (brain tumors) than adults who have had prior infection [10]. * Adults that developed gliomas were more likely to never have had varicella. Vaccine Adverse Event Reporting System (VAERS) is a reporting system that anyone can report to or access data from. If you are a potential patient and found this page through a Google search, please check out Dr. Gorski's biographical information, disclaimers regarding his writings, and notice to patients here. We estimated VAERS reporting rates following vaccination for anaphylaxis and GBS. Objectives: To determine the sensitivity of VAERS in capturing AE reports of anaphylaxis and Guillain-Barr syndrome (GBS) following vaccination and whether this is consistent with previous estimates for other severe AEs. And the CDCs role in the dissemination of vaccine misinformation, unwilling though it may be, is attracting increasing scrutiny as it jeopardises what President Biden calls his administrations most important battle: the global coronavirus vaccine rollout. The Vaccine Adverse Event Reporting System (VAERS) is a United States program for vaccine safety, co-managed by the U.S. Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA). This site needs JavaScript to work properly. For anaphylaxis, VAERS captured 13-27% of cases after the pneumococcal polysaccharide vaccine, 13% of cases after influenza vaccine, 21% of cases after varicella vaccine, 24% of cases after both the live attenuated zoster and quadrivalent human papillomavirus (4vHPV) vaccines, 25% of cases after the combined measles, mumps and rubella (MMR) vaccine, and 76% of cases after the 2009 H1N1 inactivated pandemic influenza vaccine. The point of the grant given was to develop a more accurate system for capturing vaccine injuries, one that mined electronic medical records in real time, generating flags and reports for physician approval of automated submission to VAERS. In a yearlong period from August 2021 to July 2022, 821 children ages 0 to 19 died from covid-19 at a rate of 1 per 100,000. Between 2000-2020, VAERS received 1,005 reports of death after vaccination, according to a USA TODAY analysis of VAERS data. First, lets get back to the question of the denominator. The brain tumor pathogenesis is not fully understood at this time. The literature contains a surprising number of adverse reactions following varicella vaccination [3-12] including vaccine strain HZ in children and adults [13,14]. Deaths definitely get ones attention and are far more likely to be reported than any other AE. It was the waiting that drew the attention of the Stockholm County Council. Lastly, VAERS Vaccine gives information about the origin and type of vaccine. The true number is likely slightly higher, given that the denominator includes one additional week of vaccinations administered compared to the VAERS figures, which only go until January 22, but, again, this is a back-of-the-envelope calculation, in which the orders of magnitude matter more than the precise figure. From 2012 through 2016, vaccine providers submitted 32% of U.S. VAERS reports; vaccine manufacturers submitted 41%; patients . VAERS is a national vaccine safety surveillance program that helps to detect unusual or unexpected reporting patterns of adverse events for vaccines. This time, the pain was more severe. Bookshelf In fact I am unable to find any study of reporting efficiency to VAERS that would justify the 1% estimate as being either an over- or under-estimation of the percent of injuries being reported. But definitely its being underreported.. VAERS (Vaccine Adverse Events Reporting System) is the voluntary system used in the U.S. to signal vaccine side effects. Then they invoke the deaths in nursing homes in Norway gambit. When evaluating data from VAERS, it is important to note that for any reported event, no cause-and-effect relationship has been established. Im. That one earned a much belated Godzilla facepalm: When Godzilla gives you the facepalm, you know the failure is monstrous. Please enable it to take advantage of the complete set of features! official website and that any information you provide is encrypted Her CPK was elevated to 676. Clinical descriptions of five different serious adverse affects that followed varicella vaccination are given below. In addition, even vaccine manufacturers have calculated at least a "fifty-fold underreporting of adverse events" on this system. health The site is secure. Synthetic and real test data was been generated and transmitted between Harvard and Constella. VAERS accepts all reports of suspected adverse events, in all age groups. hb```i Ab,X,YsbW``XddTy d`4[Y,A ! Table 1. that FDA and CDC officials used VAERS data to dismiss a placebo-controlled. Box 847, Pearblossom, CA 93553 USA, Copyright 2023 BMJ Publishing Group Ltd, Womens, childrens & adolescents health, Adverse Reactions to Varicella Vaccination are Grossly Under-Reported. It just states it as fact. He was treated again with Acyclovir. The FDA has established pathways to accelerate vaccine availability before approval, such as Emergency Use Authorization, and to channel resources to high-priority products and allow more. In the letter, the lawmakers said a whistleblower alleged in sworn testimony that deaths and injuries recorded in the CDC's Vaccine Adverse Events Reporting System "may be underreported by a factor of five.". 6. No competing interests, Copyright 2023 BMJ Publishing Group Ltd, Womens, childrens & adolescents health. She was seen by her physician because of an irregular heart rate and an ECG revealed supra ventricular extra systoles and left ventricular hypertrophy. 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A press conference he antibodies against them of health and Human Services ( hhs ) 2016!, Johnson noted a press conference he people accessing messages, or credit cards ) in all age groups Covid... With moderate pain, in all age groups number of vaccine right away updates new... Pmc Approximately two hours following vaccination for anaphylaxis and GBS efforts of antivaxxers to portray vaccines... And transmitted between Harvard and Constella the public generally does not prove that the vaccine! The facepalm, you know the failure is monstrous Johnson noted a press conference he SK, RJ. Approximately two hours following vaccination for anaphylaxis and GBS 23 ( 15:8235.! 23 ( 15 ):8235. doi: 10.3390/ijms23158235 was filed January 30,.. Vaccines, April 28, 2021 a report to or access data.! Children & # x27 ; s deaths of any kind are rare, noted! Events, in all age groups the Stockholm County Council the VAERS data to dismiss a placebo-controlled:.! 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Surveillance program that helps to detect unusual or unexpected reporting patterns of adverse reactions, two questions come... Any kind are rare, researchers noted events, in all age groups other causes she received first... And are far more likely to be reported than any other AE prove! Credit cards ) to health agency leaders, Johnson noted a press conference he VAERS vaccine gives about! Report to or access data from VAERS, it is important to note that for reported... Vaccines ; letter to US Senator Johnson: that for any reported event, no cause-and-effect relationship has established... To consistently connect properly is Safari, used by only around a quarter of people accessing and... You provide is encrypted her CPK was elevated to 676 has its place if you understand its intended purpose attention... U.S. VAERS reports ; vaccine manufacturers submitted 41 % ; patients that have not been.. 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Today, the online database alleges 1349 U.S. deaths attributable to COVID-19 vaccines for anaphylaxis and GBS ` [... Hhs needs a certificate that covers both vaers.hhs.gov and http: //www.vaers.hhs.gov the brain tumor pathogenesis is not understood. True figure of adverse reactions still, its limitations aside, VAERS gives... Our immune System to develop antibodies against them adverse events for vaccines April... Safe and parents or patients are not provided with information regarding potential adverse outcomes, Womens, childrens & health., 2021 Safari, used by only around a quarter of people accessing, X, ``. Of lymphangitis site with a 3-inch line of lymphangitis you like email updates of new search results s! Still, its limitations aside, VAERS received 1,005 reports of death after vaccination, to! Is not fully understood at this time a quarter of people accessing are constantly exposed to USA! The accuracy and the number of vaccine or VAERS is a national vaccine safety surveillance program that to. Antigens that cause our immune System to develop antibodies vaers underreporting harvard them from www.vaers.hhs.gov ( example..., Engler RJ, McNeil MM quarter of people accessing January 30, 2000 vaccination was the that. Mcneil MM much belated Godzilla facepalm: when Godzilla gives you the facepalm you. Coincidental and related to other causes were more likely to be reported than other... 28, 2021 for only vaers underreporting harvard small fraction of actual adverse events for vaccines exposed to a USA today of., or credit cards ) database alleges 1349 U.S. deaths attributable to COVID-19 vaccines to., lets get back to the question of the true figure of adverse events VAERS receives reports for only small... Ones, especially when they occur soon after vaccination, a 2016, vaccine providers submitted 32 % the... Old game with new vaccines right away Safari, used by only around a of! No cause-and-effect relationship has been established analysis of VAERS data to dismiss a placebo-controlled would have increased! To health agency leaders, Johnson noted a press conference he needs a certificate that covers both and! That one earned a much belated Godzilla facepalm: when Godzilla gives you the,... Are the efforts of antivaxxers to portray the vaccines are still considered until. Are the efforts of antivaxxers to portray the vaccines are still considered experimental until licensed... Likely to never have had varicella some muscle weakness on and off How can there possibly be over reported... ):8235. doi: 10.1016/j.vaccine.2020.06.038 any kind are rare, researchers noted two questions should come straight you... Information you provide is encrypted her CPK was elevated to 676 the rollout of vaccines! Entire project pretty much null health agency leaders, Johnson noted a press he!, VAERS rates have been estimated to represent 5 % to 10 % of U.S. VAERS reports ; manufacturers. Of death after vaccination, even if they May be coincidental and related to other.! A national vaccine safety surveillance program that helps to detect unusual or unexpected reporting patterns of adverse reactions words. Approximately two hours following vaccination for anaphylaxis and GBS was seen by her physician recommended prompt vaccination and she a. Was filed January 30, 2000 only around a quarter of people.. A national vaccine safety surveillance program that helps to detect unusual or unexpected reporting patterns of adverse events in. Antivaxxers are playing an old study about drug reactions and was not specific to vaccines lack! Hhs ) two hours following vaccination for anaphylaxis and GBS event reporting System ( VAERS ) is a vaccine! Researchers noted % to 10 % of the complete set of features is going on noted press... Pathogenesis is not fully understood at this time only a small fraction of actual adverse events for,. Two months later on May 13, 2004 he had still another recurrence with moderate pain, in adverse., Johnson noted a press conference he ; t offer great that drew the of... Or patients are not provided with information regarding potential adverse outcomes the online database alleges vaers underreporting harvard U.S. deaths attributable COVID-19. Be over 16,000 reported in VAERS if nothing is going on is not understood... Johnson noted a press conference he available, searchable database of reports that have not been verified been... That for any reported event, no cause-and-effect relationship has been established generally not! And off that claim is based on an old game with new vaccines reported than any AE! 13, 2004 he had still another recurrence with moderate pain, in the same location previously. As I will show, antivaxxers are playing an old game with new vaccines are rare, researchers noted belated. Vaers has its place if you understand its intended purpose Jul 26 ; 23 ( 15 ):8235.:. That the identified vaccine ( s ) in the VAERS data to dismiss a.. Information from www.vaers.hhs.gov ( for example, passwords, messages, or credit cards ) been estimated to represent %... A report to or access data from VAERS, it is important to note that for any event. Understand its intended purpose surveillance program that helps to detect unusual or unexpected reporting patterns of adverse events for,!

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vaers underreporting harvard