Get Canada Phac Report Of Adverse Events Following Immunization (aefi) 2016-2025

The Canada PHAC Report Of Adverse Events Following Immunization (AEFI) is an important tool for documenting adverse events related to vaccination. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently online.

Follow the steps to complete the Canada PHAC Report Of Adverse Events Following Immunization (AEFI) online.

1. Press the ‘Get Form’ button to access the form and open it in your online editor.
2. At the top right corner of the first page of the AEFI form, select one of the boxes to indicate whether this is an initial report or a follow-up report. For follow-up reports, enter the Unique Episode Number if available.
3. In section 1a, leave the Unique Episode Number blank unless you have authorization to complete it. For section 1b, similarly leave the Region Number blank if it does not apply to your locality.
4. Section 2 requires the impact Local Inventory Number (LIN), which is assigned by IMPACT nurse monitors.
5. Section 3 consists of confidential information that should not be sent to the Public Health Agency of Canada.
6. In section 4a, indicate the Province/Territory where the vaccine was administered using abbreviations. In section 4c, fill in the table with requested details, including the Dose # (1, 2, 3, 4, or 5).
7. For section 7a, assess and record the highest impact of the AEFI on the patient’s daily activities. In section 7c, document the highest level of care received.
8. In section 9, select the description that best fits the AEFI being reported, recording the time of onset and duration of signs/symptoms in the appropriate time units.
9. Complete section 10 with supplementary information regarding any investigations or treatments that relate to the AEFI.
10. In section 11, provide recommendations for future immunizations as guided by provincial and territorial best practices.
11. Finally, save changes to the form, and utilize options to download, print, or share the completed document with your local health authority.

Complete the Canada PHAC Report Of Adverse Events Following Immunization (AEFI) online now to help ensure safe vaccination practices.