MMS Flu Advisory: Vaccine Adverse Events Reporting

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The Massachusetts Department of Public Health and the CDC remind you to report clinically significant adverse events after vaccination, whether or not you administered the vaccine and even if you are not sure if the vaccine caused the adverse event. Clinically significant adverse events are those events that are of concern to you or your vaccinated patients or their caregivers.

VAERS, the Vaccine Adverse Events Reporting System, a US vaccine safety surveillance system, co-managed by the CDC and FDA, collects and analyzes voluntary reports of adverse events following vaccination to identify potential vaccine safety concerns that may need further study or public health action.
To report to VAERS:
1) Submit a report online via a secure federal Health and Human Services website
2) Fax a completed VAERS form to 877-721-0366, or
3) Mail a completed VAERS form to VAERS, P.O. Box 1100, Rockville, MD 20849-1100.
A VAERS form may be downloaded from the VAERS. For additional information on VAERS or vaccine safety, visit the VAERS website at or call 800-822-7967. You can also call the Massachusetts Department of Public Health at 617-983-6800 and ask to speak with a nurse or epidemiologist if you have any questions.

Influenza Vaccination Record Cards
Influenza vaccination record cards will be given to people who receive 2009 influenza A (H1N1) monovalent vaccine, and can be used to track H1N1 and 2009-10 seasonal influenza vaccination information. The information on this card may be helpful in completing a VAERS report for an adverse event that occurred after 2009 H1N1 vaccination.

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