Enter vaccine history

Field or Control Name	Description
Route of Admin	Enter the route of administration or a short code for the route of administration. Contact your administrator to adjust this list.
Anatomical Location	Select the anatomical location of the vaccination. Contact your administrator to adjust this list.
Block 14	If this box is checked, this Vaccine History will be printed in the VAERS Form Block 14.
Add	Adds a new Indication row. Note: Only two indications are visible at a time.
Delete	Click this button to delete the selected Indication row.