Adverse Event Following Immunization (AEFI)

Policy

Category: Clinical Services
Subject: Adverse Event Following Immunization (AEFI)
Division: Community Health and Wellness
Policy Number: CA.72.01.100
Effective Date: October 26, 2017

POLICY STATEMENT

An adverse event following immunization (AEFI) is reported to the clinical services or vaccine preventable nurses by providers in-house or in the community who have identified client symptoms suggestive of an adverse reaction.

The person who experienced the symptoms of the AEFI must have seen a medical practitioner for assessment, and the symptoms must meet AEFI criteria as per the Infectious Disease Protocol, Appendix B, Provincial Case Definitions for Reportable Diseases – Disease: Adverse Events Following Immunization (AEFI) revised April 2015 to be considered an AEFI with follow-up documentation into the iPHIS database.

Follow-up involves:

  • Recommendations by the Medical Officer of Health (MOH) regarding future immunizations for the person effected; and
  • Documentation of the incident in the iPHIS data base to support Provincial vaccine safety surveillance.

SCOPE

This policy applies to all Wellington-Dufferin-Guelph Public Health (WDGPH) employees working in Health Analytics, Clinical Services, School Health and Vaccine Preventable Diseases programs.

REFERENCES AND RELATED FORMS, POLICIES AND PROCEDURES

Corresponding Procedure:  CA.72.02.100  Adverse Event Following Immunization (AEFI)

CONTACT FOR INQUIRIES

Manager, Clinical Services

APPROVED BY

Director, Community Health and Wellness 


Procedure

Category: Clinical Services
Subject: Adverse Event Following Immunization (AEFI)
Division: Administrative Services
Procedure Number: CA.72.02.100
Effective Date: October 26, 2017

PROCEDURE

When an Adverse Event Following Immunization (AEFI) occurs, the person reporting the event will complete an Ontario Adverse Event Following Immunization (AEFI) Reporting Form. The person completing the form can be a community primary care provider or internal Wellington-Dufferin-Guelph Public Health (WDGPH) employee. The event could be shared with the community care provider or WDGPH employee by the vaccine recipient, a pharmacist, nurse or other reporting source.

The Ontario Adverse Event Following Immunization (AEFI) Reporting Form will be submitted to the iPHIS data entry clerk by confidential fax or mail. The iPHIS clerk will consult with the Clinical Services PHN assigned to AEFI follow-up to determine if the client presentation meets AEFI criteria as per the Infectious Disease Protocol, Appendix B, Provincial Case Definitions for Reportable Diseases – Disease: Adverse Events Following Immunization (AEFI) revised April 2015 and the client has seen a medical practitioner to assess their symptoms. If both criteria are met, the PHN will direct the iPHIS clerk to enter the information from the Ontario Adverse Event Following Immunization (AEFI) Reporting Form  into the provincial iPHIS data base and given a iPHIS case ID number within five business days.

The iPHIS data entry clerk will consult with the Clinical Services nurse assigned to AEFI follow-up to ensure that the rest of the form is complete.

The iPHIS data entry clerk will complete an Adverse Event Following Immunization (AEFI) Cover Form. The iPHIS data entry clerk will photocopy the Adverse Event Following Immunization (AEFI) Cover Form and attach the AEFI report to it, and then forward both to the Medical Officer of Health (MOH) for future immunization recommendations.

The MOH will return the completed forms to the iPHIS data entry clerk who will then record the MOH’s recommendations into iPHIS.

The iPHIS data entry clerk will give a copy of the forms to the Clinical Services nurse assigned to AEFI follow-up who will contact the client/reporting source with the MOH follow-up recommendations, and then file the forms.

RESPONSIBILITY:

Medical Officer of Health:

  • Review the AEFI package;
  • Complete future immunization recommendations; and
  • Return completed AEFI package to iPHIS data entry clerk.

Management will:

  • Ensure that Clinical Services staff are aware of symptoms reportable under an AEFI;
  • Ensure staff have access to the AEFI form for completion; and
  • Ensure a nurse is assigned to complete AEFI follow-up.

Nurse will:

  • Complete the Ontario Adverse Event Following Immunization (AEFI) Reporting Form upon receipt of a reported suspected event following an immunization and submit it to the iPHIS data entry clerk;
  • Consult with the iPHIS clerk to ensure form is complete; and
  • Follow-up with the client/reporting source re: AEFI upon receipt of the complete immunization recommendations from the MOH.

iPHIS data entry clerk will:

  • Consult with the clinical service’s nurse assigned to AEFI follow up to ensure the form is complete;
  • Enter the AEFI into the provincial iPHIS data base and give an iPHIS case ID number within five business days;
  • Complete an AEFI cover form and make a copy;
  • Attach the copy of the cover form to the AEFI report;
  • Forward to the MOH for future immunization recommendations;
  • Upon receipt of the completed recommendations will enter this information into the iPHIS data base;
  • Provide the assigned Clinical Service’s nurse a copy of the completed forms from the MOH to complete follow-up; and
  • File the completed forms.

DEFINITIONS:

Adverse Event Following Immunization – An AEFI is an unwanted or unexpected health effect that happens after someone receives a vaccine, which may or may not be caused by the vaccine. 

In Ontario, health professionals are required to report AEFIs to their local public health unit. Public health units investigate adverse events and provide support to immunizers, individuals and their families.

REFERENCES AND RELATED FORMS, POLICIES AND PROCEDURES

Corresponding Policy:  CA.72.01.100  Adverse Event Following Immunization (AEFI)
Public Health Ontario, https://www.publichealthontario.ca/en/BrowseByTopic/InfectiousDiseases/P… 
iPHIS User Guide Outbreak Module. Adverse Events Following Immunization. Version 2.0

CONTACT FOR INQUIRIES

Manager, Clinical Services

APPROVED BY

Director, Community Health and Wellness