| 30947-6 | Date form completed |
| 30975-7 | Creator report number Form VAERS |
| 30976-5 | Date received Form |
| 30977-3 | 15 day report Form VAERS (qualitative) |
| 30978-1 | Type Form VAERS |
| 46636-7 | Date form completed |
| 47245-6 | HIV treatment form Document |
| 65838-5 | Date submitted |
| 65840-1 | Principal result interpreter phone number |
| 65841-9 | Form status |
| 65842-7 | Acceptance status |
| 68355-7 | Date signed |
| 68356-5 | Form version |
| 69764-9 | Document type ID |
| 74468-0 | Questionnaire form definition Document |
| 85648-4 | Signature of persons completing the assessment during assessment period |
| 85814-2 | IRF-PAI - Signature of persons completing the assessment during assessment period |