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Resource from:Evaluating HPV vaccination pilots:
practical experience from path publication titleAdverse Events Following Immunization
(AEF) Reporting Form
publisherPATH
publication date2008This document
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How to fill out aefi reporting form

How to fill out aefi reporting form
01
Start by accessing the AEFI reporting form online or obtain a physical copy from your local health authority.
02
Fill in the necessary personal information such as your name, contact details, and occupation.
03
Provide details about the vaccine recipient, including their name, age, and any underlying medical conditions.
04
Describe the adverse event experienced by the vaccine recipient in detail, including the onset, duration, and severity of symptoms.
05
Mention any other relevant information such as the date and location of vaccination, batch number of the vaccine, and the name of the administering healthcare professional.
06
If required, attach any supporting documents or medical records related to the adverse event.
07
Review the completed form for accuracy and completeness before submitting it to the appropriate authority.
08
Follow any additional instructions or requirements provided by your local health authority regarding the submission process.
Who needs aefi reporting form?
01
The AEFI reporting form is required by healthcare professionals, vaccine administrators, and medical facilities.
02
It is important for anyone involved in administering vaccines or managing adverse events to fill out this form.
03
Additionally, patients or their caregivers may also be encouraged to submit an AEFI reporting form if they have experienced an adverse event following vaccination.
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What is aefi reporting form?
The aefi reporting form is a form used to report any adverse events following immunization.
Who is required to file aefi reporting form?
Healthcare providers and facilities are required to file the aefi reporting form.
How to fill out aefi reporting form?
The aefi reporting form can be filled out online or in paper form with information about the adverse event and the individual who experienced it.
What is the purpose of aefi reporting form?
The purpose of the aefi reporting form is to track and monitor any adverse events following immunization for public health and safety.
What information must be reported on aefi reporting form?
The information that must be reported on the aefi reporting form includes details about the adverse event, the individual's medical history, and the vaccine received.
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