Thank you for reporting your vaccine failure experience to the National Vaccine Information Center (NVIC). We take your experience and privacy concerns seriously. Identifiable personal information you provide in this questionnaire will be kept confidential and used only as you direct NVIC to use it.
Sharing your story with others will help NVIC communicate important information about vaccination to the public and will help protect the human right to exercise voluntary, informed consent to vaccination.
No Vaccine is 100 percent effective or safe. Sometimes vaccines cause reactions and sometimes they fail to provide temporary or long-term protection against the infectious disease they are supposed to prevent.
Some attenuated live virus vaccines can cause vaccine strain viral infection in the vaccinated person or a close contact of that person. For example, live smallpox vaccine can cause vaccinia infection and use of live oral polio vaccine was discontinued in the U.S. in 1999 because it can cause vaccine strain polio. There are published reports of vaccine strain infections after live virus vaccines have been administrated to children and adults for measles, mumps, rubella, rotavirus, influenza, chickenpox (varicella zoster) and shingles (herpes zoster) vaccines.
If a live virus vaccine you or your child received did not protect against the infectious disease it was supposed to prevent OR it caused a vaccine strain infection, you can share your story with the general public and/or legislators by filling in the form below. You may choose to share your story in one or both of the following ways:
- Publicly on NVIC.org on our Vaccine Failure Wall: The personal experience with vaccine failure or vaccine strain viral infection that you describe in the “YOUR STORY” box below will appear with a date stamp;
- Share with Legislators to Protect Vaccine Choice: Sharing personal experiences with legislators is a powerful testimony for why it is necessary to protect the legal right to make vaccine choices. You can give NVIC permission to share with legislators your experience described in the “YOUR STORY” box below along with your name and address. (Legislators require contact information when confirming the validity of these reports. Your name and address will only be shared with legislators and will not be posted on NVIC.org)
Required Fields of Information – The red asterisk " * " indicates required fields of information.