WebbOTTAWA PUBLIC HEALTH VACCINE RETURN FORM. Vaccine Program, Main Floor 100 Constellation Drive, Ottawa ON K2G 6J8 613-580-6744, Fax: 613-580-2783 . DATE: NAME (Doctor/Clinic): CONTACT PERSON: ADDRESS: TELEPHONE #: Reason for Return: (PLEASE CHECK ONE) Expired Excessive Quantities Ordered. WebbAEFI Investigation Page 2/4 Section C Details of first examination** of serious AEFI case Source of information ( all that apply): Examination by the investigator Documents Verbal autopsy _____Other_____ If from verbal autopsy, please mention source
Reporting Adverse Events Following Immunization (AEFI) in Canada
WebbAESI confirmation form To collect confirmation information when AESI cases are identified. Separate form for eachcondition To be developed Investigation form for AESI … WebbThe foregoing revised AEFI report form was first introduced in 2009 in Manitoba and other PTs. In 2016, MHSAL developed its own AEFI form to correspond with the electronic system used to capture AEFIs in Manitoba, called Panorama. Links to download Manitoba’s AEFI form and user guide can be found at portable front load washer dryer combo
Enhanced reporting form for events managed as anaphylaxis …
Webb18 juni 2010 · This shall be attended by the members of the regional, AEFI committee, provincial, city/municipal EPI coordinators, PHO, MHO/CHO, surveillance staff, and DOH representatives. 6.2 The focus of the PIE shall include critical examination on the elements of the AEFI surveillance and response and come up with constructive recommendations … Webb13 feb. 2024 · A request can be made by writing to the Privacy Officer, identifying in as much detail as possible the information you are requesting and any other information … WebbPlease Note: An AEFI is any medical occurrence in a vaccine recipient which follows immunization that CANNOT clearly be attributed to other causes. Other adverse events of special interest for COVID-19 vaccine have been added to the Ontario AEFI Reporting Form, Please refer to the form for a complete list of types of adverse events to report. portable fuel tank for pickup truck