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Department of Health COMMUNICABLE DISEASES PREVENTION UNIT Immunization SECTIONAdverse Event Following Immunization (AEF) Reporting FormVaccinated Person Details First Name:Surname:DOB:Address:Suburb:Postcode:Email:Mobile:Indigenous
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01
When filling out adverse events following immunisation, follow these steps:
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Begin by gathering all necessary information, including the patient's name, date of immunisation, and any relevant medical history.
03
Document the type of vaccine administered and the specific lot number.
04
Record the date and time of the adverse event, along with a detailed description of the symptoms and their severity.
05
Include any additional relevant information, such as any medication the patient was taking at the time of the adverse event.
06
Provide contact information for the healthcare provider who administered the vaccine.
07
Submit the completed adverse events following immunisation form to the appropriate authority or organization, as per their guidelines and requirements.

Who needs adverse events following immunisation?

01
Anyone who experiences an adverse event following immunisation should report it.
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This includes individuals who have received vaccinations, as well as healthcare providers who may observe adverse events in their patients.
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Reporting adverse events helps to monitor vaccine safety and identify any potential issues.
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Adverse events following immunisation (AEFI) are any untoward medical occurrences that occur after vaccination and may or may not be causally related to the vaccine.
Healthcare providers, vaccine manufacturers, and patients or their caregivers are typically required to report AEFIs to the relevant health authorities.
To fill out an AEFI report, individuals should provide detailed information about the vaccine received, the adverse event experienced, the date of occurrence, and any relevant medical history.
The purpose of reporting AEFIs is to monitor vaccine safety, identify potential safety signals, and ensure that vaccines are safe for public use.
Information that must be reported includes patient details, vaccination details (type, date, and manufacturer), description of the adverse event, timeframe of the event, and any treatments administered.
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