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The following text is from an archived Red Book® edition and may not reflect current recommendations or information. To view the current edition, click here.
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Section 1. Active and Passive Immunization
ACTIVE IMMUNIZATION
Reporting of Adverse Events
Before administering a dose of any vaccine, parents and patients should be questioned about adverse events and possible reactions after previous doses. No recommendations can anticipate all possible adverse events, particularly with newly licensed vaccines or a dose being administered as the first in a series. Unexpected events after administration of any vaccine, particularly events judged to be clinically significant, should be described in detail in the patient’s medical record, and a VAERS report should be made. There is no time limit for reporting an adverse event. A possible reaction should be reported when the reaction is recognized.
The National Childhood Vaccine Injury Act of 1986 requires physicians and other health care professionals who administer vaccines covered under the National Vaccine Injury Compensation Program to maintain permanent immunization records and to report to the VAERS any condition listed on the reportable events table (see Appendix IV, p 852) or listed as a contraindication to additional doses of vaccine in the manufacturers package insert. The vaccines to which these requirements apply, as of January 2006, are measles, mumps, rubella, varicella, poliovirus, hepatitis A, hepatitis B, pertussis, diphtheria, tetanus, rotavirus, Hib, pneumococcal conjugate, meningococcal conjugate, and influenza vaccines (see Record Keeping and Immunization Information Systems, p 37).
Vaccine Adverse Event Reporting System (VAERS)Vaccine Safety Datalink Project
Clinical Immunization Safety Assessment (CISA) Network
Vaccine Injury Compensation
Precautions And Contraindications
Hypersensitivity Reactions to Vaccine Constituents
Misconceptions About Vaccine Contraindications
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VACCINE ADVERSE EVENT REPORTING SYSTEM (VAERS)
Clinically significant adverse events other than those listed in Appendix IV (p 852), as well as those occurring after administration of other vaccines not listed in Appendix IV, also should be reported to the VAERS. Vaccine failures (disease in an
Related text in Red Book:
- Record Keeping and Immunization Information Systems
Red Book 2006: 37-39.[Extract] [Full Version] - Vaccine Safety and Contraindications
Red Book 2006: 39-41.[Extract] [Full Version] - Vaccine Administration
Red Book 2006: 18-22.[Extract] [Full Version] - Treatment of Anaphylactic Reactions
Red Book 2006: 64-66.[Extract] [Full Version] - Preterm and Low Birth Weight Infants
Red Book 2006: 67-69.[Extract] [Full Version] - Immunocompromised Children
Red Book 2006: 71-85.[Extract] [Full Version] - Children With a Personal or Family History of Seizures
Red Book 2006: 85.[Extract] [Full Version] - Poliovirus Infections
Red Book 2006: 542-547.[Extract] [Full Version] - Rabies
Red Book 2006: 552-559.[Extract] [Full Version] - Tetanus (Lockjaw)
Red Book 2006: 648-653.[Extract] [Full Version] - Varicella-Zoster Infections
Red Book 2006: 711-725.[Extract] [Full Version] - Hepatitis B
Red Book 2006: 335-355.[Extract] [Full Version] - Arboviruses (also see West Nile Virus, p 729) (Including California Serogroup [Primarily La Crosse] Encephalitis, Eastern and Western Equine Encephalitis, Powassan Encephalitis, St Louis Encephalitis, Venezuelan Equine Encephalitis, Colorado Tick Fever, Dengue Fever, Japanese Encephalitis, and Yellow Fever)
Red Book 2006: 211-217.[Extract] [Full Version] - Influenza
Red Book 2006: 401-411.[Extract] [Full Version] - Pertussis (Whooping Cough)
Red Book 2006: 498-520.[Extract] [Full Version] - MedWatch—The FDA Safety Information and Adverse Event Reporting Program
Red Book 2006: 821-822.[Extract] [Full Version] - Directory of Resources
Red Book 2006: 839-843.[Extract] [Full Version] - Standards for Child and Adolescent Immunization Practices
Red Book 2006: 844-846.[Extract] [Full Version] - Guide to Contraindications and Precautions to Immunizations, 2006
Red Book 2006: 847-851.[Extract] [Full Version] - National Childhood Vaccine Injury Act. Reporting and Compensation Table.
Red Book 2006: 852-855.[Extract] [Full Version]
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