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

How to fill out adverse events following immunization

How to fill out adverse events following immunization

1. Obtain all necessary information about the adverse event following immunization (AEFI) form.
2. Start by entering the personal details of the person experiencing the AEFI, such as name, age, gender, and contact information.
3. Provide details about the vaccine received, including the name, manufacturer, lot number, and date of vaccination.
4. Describe the adverse event in detail, including the symptoms experienced, the date and time of onset, and the severity.
5. Note any other relevant medical history, such as pre-existing conditions or allergies.
6. If the AEFI requires medical intervention or hospitalization, provide details about the healthcare facility and any treatments received.
7. Include information about any laboratory or diagnostic tests performed in relation to the AEFI.
8. Provide contact information of the healthcare provider or facility where the AEFI form will be submitted.
9. Review the completed form for accuracy and completeness before submission.
10. Submit the AEFI form according to the designated procedure and follow any further instructions provided by the relevant authorities.

Who needs adverse events following immunization?

1. Anyone who experiences an adverse event following immunization needs to fill out the AEFI form. This includes individuals who have received a vaccine and subsequently develop symptoms or complications that may be related to the vaccination. It is important to report and document these adverse events to ensure proper monitoring, assessment, and further investigation if necessary. Filling out the AEFI form helps in understanding the safety profile of vaccines and allows healthcare authorities to take appropriate actions to protect public health.

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What is adverse events following immunization?

Adverse events following immunization (AEFI) are any untoward medical occurrences that follow vaccination, which may or may not be causally related to the vaccine.

Who is required to file adverse events following immunization?

Healthcare providers, vaccine manufacturers, and in some cases, the patients themselves or their guardians are required to file reports on AEFI.

How to fill out adverse events following immunization?

To fill out an AEFI report, one must gather relevant clinical information, including details about the vaccine, the event, patient demographics, and any other pertinent medical history, then submit it using the designated reporting form.

What is the purpose of adverse events following immunization?

The purpose of AEFI reporting is to monitor vaccine safety, identify potential safety signals, and ensure that vaccines are safe for public use.

What information must be reported on adverse events following immunization?

Information that must be reported includes the patient's demographic information, details of the vaccine administered, description of the adverse event, date of onset, and any other relevant medical history.