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How to fill out the Aefi Form online
This guide provides detailed instructions on how to fill out the Adverse Events Following Immunization (AEFI) Form online. Our aim is to assist users in reporting any adverse events in a clear and supportive manner.
Follow the steps to successfully complete the AEFI Form online.
- Press the ‘Get Form’ button to obtain the AEFI Form and open it in your preferred editor.
- At the top right corner of the first page, select either the INITIAL or FOLLOW UP report option by checking the appropriate box. For follow-up reports, remember to enter the Unique Episode Number if applicable.
- In Section 1a, leave the Unique Episode Number blank unless you are authorized to assign it.
- For Section 1b, input the Region Number if it applies to your area; otherwise, leave it blank.
- Complete Section 2 by entering the IMPACT LIN assigned by the nurse monitors.
- In Section 3, provide personal information as requested, ensuring all dates are in the format YYYY/MM/DD.
- In Section 4a, indicate the Province/Territory where the vaccine was given using appropriate abbreviations.
- Complete Section 4c by entering all requested details in the provided table, including the Dose Number if known.
- In Section 7a, evaluate the highest impact of the AEFI on the individual’s daily activities and select the appropriate option.
- Fill in any necessary details in Section 10 concerning investigations or treatments received.
- Complete the reporter information in Section 8, and indicate the date reported in the format YYYY/MM/DD.
- Once all sections are completed, save your changes, download the document, print it, or share as needed.
Complete the AEFI Form online to ensure your report is submitted accurately and efficiently.
At a national level, AEFI reports are typically received by health departments or agencies responsible for vaccine safety monitoring. These organizations analyze the reports to identify patterns or safety concerns. Proper use of the AEFI form ensures that all necessary details are communicated to these authorities. This process is essential for maintaining public confidence in immunization programs.
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