Get the free Discarded vaccine report form

Department of HealthCommunicable Diseases Prevention UnitDiscarded Vaccine Report Form In the case of a cold chain breach, before discarding any government vaccines, please contact the Communicable

How to fill out discarded vaccine report form

How to fill out discarded vaccine report form

1. Obtain the discarded vaccine report form from the appropriate health authority or organization.
2. Fill out the patient's name, date of birth, and contact information.
3. Provide details of the discarded vaccine, including the type of vaccine, lot number, and expiration date.
4. Explain the reason for discarding the vaccine, such as spoilage, contamination, or improper handling.
5. Include the date and time the vaccine was discarded, as well as the name and signature of the person who discarded it.
6. Submit the completed form according to the instructions provided by the health authority.

Who needs discarded vaccine report form?

1. Healthcare providers
2. Pharmacists
3. Public health officials

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What is discarded vaccine report form?

The discarded vaccine report form is a document used to report vaccines that have been wasted or discarded due to various reasons, such as expiration, damage, or loss of potency.

Who is required to file discarded vaccine report form?

Healthcare providers and facilities that administer vaccines and experience vaccine wastage are required to file the discarded vaccine report form.

How to fill out discarded vaccine report form?

To fill out the discarded vaccine report form, complete sections detailing the type and amount of vaccine discarded, the reason for disposal, and any relevant dates. Ensure all information is accurate and complete.

What is the purpose of discarded vaccine report form?

The purpose of the discarded vaccine report form is to track and monitor vaccine wastage, helping public health officials assess and improve vaccine management practices.

What information must be reported on discarded vaccine report form?

The report must include the type of vaccine, the number of doses discarded, the reason for disposal, the date of disposal, and any additional comments or relevant information.