1 · Pick a record, then import
Source record (already structured in the EHR)
These FHIR resources exist before any form is touched. The form below is built from them — nothing is re-typed.
Select a patient…
2 · The VAERS report
Click Import from record — every field marked auto fills itself. You only complete the fields marked you.
Patient
Vaccine(s) given
| Vaccine | Manufacturer | Lot | Dose | Site/route | Date |
|---|
Adverse event you
MedDRA suggestion appears as you type… (demo stub list — production uses licensed MedDRA + gated model coding)
History (auto from record)
VAERS-2 report preview
DEMO — synthetic data — this generates no real report.