Global Medical Information

Medical Information Request Form – Healthcare Professional

This page is intended for Healthcare Professionals and other relevant decision makers in the US.

This form is NOT intended to report Adverse Events and/or report Product Quality Complaints.

Please fill out the form below with your information and question and a member of our team will be in touch.

Inquiry Form

Your Contact Information

All fields marked with an asterisk (*) are required.

Country

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First Name

Last Name

Email Address

Phone Number

Phone number is required in the event additional information is needed to clarify your question.

Preferred Response

Email

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Mail

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City/Town

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Healthcare Professional Type

Physician

Pharmacist

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Other Healthcare Professional

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Your Inquiry

Which Novavax product does your question relate to?

If you have questions regarding multiple Novavax products, please complete a separate Medical Information Request Form for each Novavax product.

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Question

If 'other' product was selected, please include the name of the product, along with your question, in this field.
Please do not provide any personal information within this field that could identify an individual.

By submitting this form, you agree that this inquiry is unsolicited and that you are a Healthcare Professional.

Novavax respects and recognizes your privacy. The information you provide will be used to process your medical information request. In compliance with the Sunshine Act, when a US licensed physician requests a journal article, the value of the article, along with shipping costs if mailed, may be subject to reporting. This information may be shared with affiliates and partners. Your information will be treated in accordance with Novavax’s Privacy Policy.

You may also

Report an Adverse Event (AE)

Vaccination providers enrolled in the federal COVID-19 Vaccination Program are responsible for mandatory reporting of the following to the Vaccine Adverse Event Reporting System (VAERS):

vaccine administration errors whether or not associated with an adverse event,
serious adverse events (irrespective of attribution to vaccination),
cases of Multisystem Inflammatory Syndrome (MIS), and
cases of COVID-19 that result in hospitalization or death.

Complete and submit reports to VAERS online: https://vaers.hhs.gov/reportevent.html. For further assistance with reporting to VAERS, call 1-800-822-7967. The reports should include the words “Novavax COVID-19 Vaccine, Adjuvanted EUA” in the description section of the report.

Alternatively, adverse events in association with a Novavax product can be reported to Novavax Pharmacovigilance at 844-NOVAVAX between 8:00AM-8:00PM ET Monday - Friday or via the Novavax Adverse Event Reporting Form.

Report an Adverse Event