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CASE REPORTING FORM (CRF) FOR ADVERSE EVENTS FOLLOWING Immunization (AEF) EPIC Number's O A Country Province Received on (date)District Year Case noLevelSignatureDistrict Provincial fields in this

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How to fill out case reporting form crf

01

To fill out the case reporting form (CRF), follow the steps below:

02

Start by entering the patient's demographic information, such as their name, age, gender, and contact details.

03

Document the date and time of the case report.

04

Provide a detailed description of the case, including symptoms, medical history, and any relevant test results.

05

Fill in the diagnosis or suspected diagnosis based on the available information.

06

Include information about any treatments administered or planned for the patient.

07

If applicable, mention any complications or adverse events associated with the case.

08

Complete the form by providing your contact information as the person reporting the case.

09

Double-check all the entered information for accuracy and completeness.

10

Save and submit the completed CRF according to the established reporting procedures.

11

Keep a copy of the submitted form for your records.

Who needs case reporting form crf?

01

Healthcare professionals, medical researchers, and institutions involved in disease surveillance and monitoring require the case reporting form (CRF).

02

It is used to collect standardized information about individual cases, allowing for systematic analysis and reporting of health-related events.

03

CRFs are commonly used in epidemiology, clinical trials, pharmacovigilance, and public health programs to gather data on disease incidence, outcomes, and associated factors.

04

The information captured in CRFs helps in understanding disease patterns, identifying trends, developing interventions, and assessing the effectiveness of healthcare interventions.

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