Get the free Smallpox Vaccine Adverse Event Supplemental Surveillance Worksheet - bt cdc
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This worksheet is intended for internal health department use to track and document the outcome and disposition of persons with adverse events following the smallpox vaccine.
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How to fill out smallpox vaccine adverse event
How to fill out Smallpox Vaccine Adverse Event Supplemental Surveillance Worksheet
01
Obtain the Smallpox Vaccine Adverse Event Supplemental Surveillance Worksheet from the appropriate health authority or website.
02
Fill in the patient's personal information, including name, date of birth, and contact details.
03
Specify the date of vaccination and the vaccine lot number.
04
Describe any adverse events experienced by the patient post-vaccination, including symptoms and their onset dates.
05
Provide details on the medical history of the patient, including any pre-existing conditions or allergies.
06
Include the names and contact information of the patient's healthcare providers.
07
Complete any additional relevant sections of the worksheet as instructed, ensuring clarity and accuracy.
08
Review the worksheet for completeness and sign or date it if required.
09
Submit the completed worksheet to the designated health authority or keep it in the patient's medical records.
Who needs Smallpox Vaccine Adverse Event Supplemental Surveillance Worksheet?
01
Individuals who have received the smallpox vaccine and experienced adverse events.
02
Healthcare providers monitoring and reporting vaccine side effects.
03
Public health organizations tracking vaccine safety and efficacy.
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People Also Ask about
What were the complications of smallpox vaccination 1968 national surveillance in the United States?
There were 74 complications and one death per 1,000,000 primary vaccinations. Morbidity and mortality rates were highest for infants, with 112 complications and five deaths per 1,000,000 primary vaccinations. Eczema vaccinatum was more severe for contacts than for vaccinees.
What is the death rate for unvaccinated people with smallpox?
Deaths from smallpox are generally due to secondary infection of lesions, pneumonia, toxemia, and hypotension. Death rates in unvaccinated patients, particularly those with the more severe form of the disease, can be as high as 50 percent.
Why do we no longer vaccinate for smallpox?
After smallpox was eliminated from the world, routine vaccination against smallpox among the general public was stopped because it was no longer needed.
Why is the smallpox vaccine no longer recommended for general use?
After smallpox was eliminated from the world, routine vaccination against smallpox among the general public was stopped because it was no longer needed.
What is an adverse reaction to smallpox vaccine?
Your arm where you received the vaccination may be sore and red. The glands (lymph nodes) in your armpits may become large and sore. You may run a slight fever. You might feel bad enough to miss work, school, or recreational activity or have trouble sleeping.
Why don't Americans have a smallpox vaccine scar?
Not many people receive a smallpox vaccine today, so the scar is far less common than it used to be. The smallpox vaccine causes an immune reaction in your skin that leaves a small scar. The scar is a sign the vaccine did its job.
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What is Smallpox Vaccine Adverse Event Supplemental Surveillance Worksheet?
The Smallpox Vaccine Adverse Event Supplemental Surveillance Worksheet is a specific form used to report and monitor adverse events or side effects that occur following the administration of the smallpox vaccine.
Who is required to file Smallpox Vaccine Adverse Event Supplemental Surveillance Worksheet?
Healthcare providers, including physicians and vaccine administrators, are required to file the Smallpox Vaccine Adverse Event Supplemental Surveillance Worksheet when they observe or are informed of adverse events related to the smallpox vaccine.
How to fill out Smallpox Vaccine Adverse Event Supplemental Surveillance Worksheet?
To fill out the Smallpox Vaccine Adverse Event Supplemental Surveillance Worksheet, one should provide detailed information about the vaccinee, the adverse event experienced, and any relevant medical history, followed by signing and submitting the worksheet to the appropriate health authorities.
What is the purpose of Smallpox Vaccine Adverse Event Supplemental Surveillance Worksheet?
The purpose of the Smallpox Vaccine Adverse Event Supplemental Surveillance Worksheet is to facilitate the collection of data on adverse effects of the smallpox vaccine to monitor safety, identify patterns, and ensure that public health recommendations can be appropriately adjusted.
What information must be reported on Smallpox Vaccine Adverse Event Supplemental Surveillance Worksheet?
The information that must be reported on the Smallpox Vaccine Adverse Event Supplemental Surveillance Worksheet includes the vaccinee's demographics, details of the vaccination, a description of the adverse event, the timing of the event in relation to vaccination, and any medical interventions that were required.
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