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The Anthrax Vaccine Is It Safe? Does It Work? (2002) / Chapter Skim
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Appendix E Vaccine Adverse Event Reporting System (VAERS) Form
Pages 239-242

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From page 239...
... Appendix E Vaccine Adverse Event Reporting System (VAERS)
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From page 241...
... Sex 6. Date form completed l mm dd yy I mm dd yy Lye Describe adverse events(s)
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From page 242...
... treating a patient for a suspected adverse event should notify the VA and provide the information about the adverse event to allow the VA to complete the form to meet the VA's legal responsibility. These data will be used to increase understanding of adverse events following vaccination and will become part of CDC Privacy Act System 09-20-0136, "Epidemiologic Studies and Surveillance of Disease Problems".
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  • birth defects
  • cdc privacy
  • term illnesses

  • vaccine administrators
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  • vaccine administrator
  • previous vaccinations
  • abnormal findings

  • health professional
  • serious event
  • date listed
  • privacy act
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  • tests performed
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  • legal representativewill
  • events table


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