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This document serves as a comprehensive user guide for filling out the Report of Adverse Events Following Immunization (AEFI) form. It provides detailed instructions on the background, reporting processes,
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How to fill out aefi report form

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How to fill out AEFI Report Form

01
Obtain the AEFI Report Form from your healthcare provider or public health agency.
02
Fill in the patient's personal information, including name, age, and contact details.
03
Describe the vaccination received, including the type of vaccine and the date administered.
04
Document the adverse event experienced, including symptoms, onset date, and duration.
05
Indicate any prior medical history relevant to the adverse event.
06
Provide details of any previous vaccinations and any adverse events associated with them.
07
Sign and date the form to certify that the information provided is accurate.
08
Submit the completed form to the appropriate health authority as instructed.

Who needs AEFI Report Form?

01
Healthcare providers who administer vaccines and observe adverse events.
02
Parents or guardians of patients experiencing adverse events after vaccination.
03
Public health officials monitoring vaccine safety and efficacy.
04
Researchers studying vaccine-related adverse events.
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People Also Ask about

Examples Vaccine product-related reaction. Vaccine quality defect-related reaction. Immunization error-related reaction. Immunization anxiety-related reaction. Coincidental event.
There are several types of vaccines, including: Inactivated vaccines. Live-attenuated vaccines. Messenger RNA (mRNA) vaccines. Subunit, recombinant, polysaccharide, and conjugate vaccines. Toxoid vaccines. Viral vector vaccines.
An adverse event following immunization (AEFI) is defined as any untoward medical occurrence following immunization which does not necessarily have a causal relationship to the vaccine. The adverse event may be any unfavourable or unintended sign, abnormal laboratory finding, symptom or disease.
This stands for 'Diphtheria, Tetanus, acellular Pertussis, Inactivated Polio Vaccine, Hib (Haemophilus influenzae type b)'. The 5-in-1 protects against these five different diseases. The 5-in-1 includes the acellular pertussis (whooping cough) vaccine - the 'aP' in 'DTaP'.
How to report an AEFI ACT: ACT Health 02 6205 2300. NSW: NSW Health 1300 066 055 (to connect to your local public health unit) NT: NT Health 08 8922 8044. QLD: Queensland Health 07 3328 9888, or complete an AEFI initial report form on the Queensland Health website. SA: SA Health 1300 232 272 (Immunisation section)
Adverse events following immunisation can be classified as: Vaccine responses. Product-related. Quality defect-related. Error-related. Immunisation anxiety-related responses. Coincidental events.
Types of AEFI for Reporting For purpose of reporting, AEFIs can be minor, severe and serious. Common, self-limiting reactions, usually occur within a few hours of injection and resolve after short period of time and pose little danger.

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The AEFI (Adverse Event Following Immunization) Report Form is a standardized document used to report any adverse events or reactions that occur following vaccination, allowing health authorities to monitor and assess vaccine safety.
Healthcare providers, vaccine administrators, and any individual who witnesses an adverse event after immunization are required to file the AEFI Report Form to ensure proper monitoring and assessment of vaccine safety.
To fill out the AEFI Report Form, provide detailed information about the patient, the vaccine received, the adverse event experienced, and any relevant medical history. Include date and time of the event, symptoms observed, and the treatment administered, if applicable.
The purpose of the AEFI Report Form is to collect essential data on adverse events that occur after vaccination, facilitating the identification of potential safety concerns and ensuring that vaccines remain safe and effective.
The AEFI Report Form must include patient demographics, details about the vaccination (type, date, and dose), the specific adverse event experienced, the onset and duration of symptoms, treatment given, and any relevant medical history.
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