How to apply to the Program?

For the meaning of capitalized terms used below, consult the Program Definitions. We also suggest that you read the How to Submit an Application instructions.

Make sure you are eligible to apply

You can submit an Application if you (or the person you represent) meet the following conditions:

• you are (or the person you represent is) either:
  • a resident or a citizen of an AMC Eligible Economy (to find out which are the AMC-eligible economies covered by the Program, please refer to the list available in Question 5 of the Program’s Frequently Asked Questions), or
  • a person within the populations of concern¹ to the COVAX Humanitarian Buffer in an AMC Eligible Economy, and
• you have (or the present you represent) been administered a Vaccine in an AMC Eligible Economy, and
• you have (or the person you represent) suffered a Serious Adverse Event which you believe is caused by the administration of a Vaccine

However, if you meet (or the person you represent, meets) the above conditions, this does not automatically mean that you (or the person you represent) are eligible for, or will receive, compensation under the Program. A number of conditions need to be met for this to be the case, as described in the Program’s Protocol. If you have any questions, please contact the Program’s Regional Center by email telephone or regular mail or the Program’s Administrator by email at covaxclaims@esis.com.

[1] Populations of concern in humanitarian settings may include those living under the state-like control of non-state armed groups, populations in conflict settings, those affected by humanitarian emergencies or those in need of humanitarian assistance, including but not limited to refugees, asylum seekers, stateless persons, internally displaced persons, minorities, detainees and vulnerable migrants irrespective of their legal status.

What is meant by an “Injury”?

The Program covers serious bodily injury or illness that is suffered or sustained by a Patient and that:

• results in permanent total or partial Impairment (disability); or
• is a congenital birth injury or illness in an unborn or new-born child of a woman who received a Vaccine and results in permanent total or partial Impairment (disability); or
• results in death.

The Program’s Vaccination Injury Table provides information about possible serious injuries that may occur as a result of a Vaccine or its administration and which may be eligible for compensation under the Program. If an Injury is listed in the Vaccination Injury Table, this does not, however, automatically, mean that the Injury is eligible for compensation under the Program. See Question 7 of the FAQ  for more information.

Conversely, if an Injury is not listed in the Vaccination Injury Table, that does not necessarily mean that the Injury is not eligible for compensation.

Follow all steps in the Application process

STEP 1: WAIT 30 DAYS AFTER VACCINATION

If you have (or the person you represent, has) suffered an Injury that has resulted in disability, you should wait 30 days after the administration of the Vaccine dose that you believe has caused the Injury, before taking any steps towards applying to the Program.

This 30-day waiting period does not apply if your Application relates to death.

STEP 2: ENSURE THAT ALL FORMS ARE COMPLETED, SIGNED AND DATED AND THAT YOU HAVE OBTAINED THE DOCUMENTS YOU SHOULD SUBMIT WITH THESE FORMS

To apply for compensation, you should:

1. complete the Application Form in English, French or Spanish;
2. ask relevant Registered Health Professional(s) to complete the Supporting Evidence Form in English, French or Spanish;; and
3. obtain the other documents that you should submit with these forms (in any language, if not available in English, French or Spanish), such as:
   • if you are applying on behalf of a Patient, a power of attorney or statement notarized by a Notary Official, confirming that you are the legally authorized parent, guardian, heir or legal representative of that Patient,
   • the documents required to be submitted by the Registered Healthcare Professional(s) together with the Supporting Evidence Form,
   • any other document or information that supports your Application; and 
4. submit all the documentation to the Administrator.

All Program forms and other resources (e.g. the Questions & Answers (FAQs) and the Application Checklist) can be found in Printable Program Forms and Other Documents.

All Program Forms (except with Schedule 2) must be downloaded, printed, and completed on paper. The Application Form (Schedule 2) can be completed online or on paper.

Before moving to STEP 3, we suggest that you go through the Application Checklist to make sure you are ready to submit your Application.

STEP 3: SUBMIT ALL YOUR DOCUMENTS

All Application materials should be submitted together and at the same time.

Please note there is a deadline by which you should submit your Application materials to the Administrator. You should submit all your Application materials to the Administrator before the end of the “Reporting Period” described in Section 2(t) of the Program’s Protocol, question 10 of the Program’s FAQ and the Illustrative Diagram of the Reporting Period ( Schedule 6 to the Program’s Protocol). If you need help with knowing what the Reporting Period in which you should submit all your application documents, please contact the Program’s Regional Center by email telephone or regular mail.

Still need help?

If you still have questions or need assistance, you can:

• consult the Questions & Answers page for frequently asked questions and answers about the Program; or
• read the Application Checklist; or
• contact the Program’s Regional Center by email, telephone or regular mail or the Administrator by phone, email or regular mail. Please note that the Administrator cannot complete an Application or any other Program forms on your behalf.