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Reporting form for Adverse Events Following Immunization AEFI INSTRUCTIONS For more complete instructions and definitions refer to the user guide at http //www. When reporting an AEFI check one of the boxes on the top right hand corner of the first page of the AEFI form to indicate whether it is an INITIAL or FOLLOW UP report. 0 C Note report ONLY if fever occurs in conjunction with Other serious or unexpected event s not listed in the form Specify and provide details in Section 10 Burning 10...

How to fill out aefi format pdf

How to fill out aefi reporting format:

1. Start by gathering all relevant information about the adverse event following immunization (AEFI), including the individual's personal details, immunization details, and the details of the adverse event.
2. Familiarize yourself with the specific format or template required for the AEFI reporting. This could vary based on your country or organization's guidelines.
3. Begin filling out the AEFI reporting form by accurately documenting the individual's personal details, such as their name, age, gender, and contact information.
4. Provide the necessary information about the immunization received, including the vaccine name, manufacturer, lot number, and date of vaccination.
5. Describe the adverse event in detail, including the symptoms experienced, their onset and duration, and any treatment provided.
6. Include any relevant medical history or pre-existing conditions the individual may have had that could be related to the adverse event.
7. If available, attach any supporting documentation, such as laboratory test results or medical records, that can provide further insight into the AEFI.
8. Sign and date the AEFI reporting form to certify its accuracy and completeness.
9. Submit the completed AEFI reporting form to the appropriate authorities or healthcare provider as per the guidelines in your jurisdiction.

Who needs AEFI reporting format:

1. Healthcare professionals and providers involved in administering vaccines need the AEFI reporting format to accurately document and report any adverse events that occur after immunization.
2. Public health agencies and regulatory bodies require the AEFI reporting format to monitor the safety and effectiveness of different vaccines and to take appropriate actions if necessary.
3. Researchers and scientists analyzing AEFI data rely on standardized reporting formats to ensure consistency and comparability of data across different studies.
4. Patients and their families may also benefit from having access to the AEFI reporting format to report any adverse events they experience directly to healthcare providers or regulatory bodies.

People Also Ask about aefi reporting format

What are the 4 types of AEFI?

Cause-specific types of AEFI are classified as vaccine product-related reaction, vaccine quality defect-related reaction, immunization error-related reaction, immunization anxiety-related reaction and coincidental events.

How do I report an AEFI?

To report a suspected AEFI, please download the National Adverse Events Following Immunisation (AEFI) Reporting Form and contact your local Public Health Unit on 1300 066 055.

Which of the following AEFI are serious and should be reported?

The most serious immediate AEFI is anaphylaxis. Severe anaphylactic reactions usually happen rapidly, within 15 minutes of vaccination. Anaphylaxis after routine vaccination is very rare, but can be fatal.

Where do AEFI reports go?

All notifiable AEFIs must be reported to SA Health however, in addition, health care providers may choose to also report these AEFI directly to the Therapeutic Goods Administration (TGA).

What are examples of AEFI?

Vaccine product-related reaction: an AEFI that is caused or precipitated by a vaccine due to one or more of the inherent properties of the vaccine product (examples include vaccination site pain, fever and anaphylaxis).

What are the basic concepts of AEFI?

Adverse Event Following Immunization (AEFI) refers to any unfavourable event occurring following vaccination related to the vaccine administration and or its handling. AEFI can be categorized as vaccine reactions, program errors, coincidental events, injection reactions and unknown events .

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What is aefi reporting format?

AEFI reporting format is a standardized template used for reporting Adverse Events Following Immunization, which includes details about any adverse health events occurring after vaccination.

Who is required to file aefi reporting format?

Healthcare professionals, vaccine providers, and sometimes patients or their guardians are required to file the AEFI reporting format when an adverse event occurs.

How to fill out aefi reporting format?

To fill out the AEFI reporting format, the reporter needs to provide relevant information such as patient details, vaccination details, description of the adverse event, and any clinical findings.

What is the purpose of aefi reporting format?

The purpose of the AEFI reporting format is to collect data on adverse events to monitor vaccine safety, identify potential safety issues, and support public health efforts in ensuring safe immunization practices.

What information must be reported on aefi reporting format?

The information that must be reported includes patient demographics, type of vaccine received, date of vaccination, description of the adverse event, onset date, and any relevant medical history or previous reactions.