№ lp_1_2_50178
File format: docx
Character count: 3214
File size: 1005 KB
Structured medical reporting form for documenting adverse drug reactions and adverse events following immunization, including patient details, event description, suspected product information, and reporter data.
Year:
2022
Revision Number:
02
Revision Date:
25/07/2022
Effective Date:
13/08/2022
Review Due Date:
25/07/2025
Document Number:
FDISM/PVSM/FOM/013
Reference Document:
FDISM/PVSM/GDL/002
Document Type:
Form
Department/Division/Office/Unit:
FDISM/PVSM
Target Audience:
Healthcare professionals reporting ADRs/AEFIs
Jurisdiction:
Rwanda
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2025
Region / city:
Colorado, USA
Topic:
Immunization policy
Document type:
Regulation
Organization / institution:
Board of Health
Author:
Board of Health
Target audience:
Parents, students, healthcare providers, educational institutions
Effective date:
December 17, 2025
Approval date:
December 17, 2025
Amendments:
November 21, 2025
Context:
The document outlines regulations and procedures regarding immunization requirements for students attending schools in Colorado.
Document type:
Amendment of solicitation
Form:
Standard Form 30
Amendment number:
A00002
Solicitation number:
VA118-16-R-0886
Issuing organization:
Department of Veterans Affairs, Technology Acquisition Center
Location:
Eatontown, New Jersey, United States
Effective date:
January 27, 2016
Solicitation due date:
February 10, 2016, 12:00 PM EST
Subject matter:
VistA Immunization Enhancements (VIMM) 2.0
Related documents:
Business Requirements Document (BRD); Requirements Specification Document (RSD)
Contracting officer:
Jan Oberdick
Regulatory framework:
FAR 43.103(b); FAR 52.212-3
Includes:
Questions and Answers, Round 2
Year:
2015
Region / City:
United States
Topic:
Immunization policies and exclusions in school settings
Document Type:
Policy guideline
Author:
Massachusetts Department of Public Health
Target Audience:
School administrators, health professionals, and legal advisors in educational settings
Period of Effectiveness:
Ongoing
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2023
Region / City:
Pennsylvania
Theme:
Immunization, Health Information Systems
Document Type:
User Agreement, Policy
Organization:
Pennsylvania Department of Health
Author:
Pennsylvania Department of Health
Target Audience:
Healthcare providers participating in the Pennsylvania Immunization Program
Effective Period:
Indefinite
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2019
Region / City:
South Carolina
Subject:
Immunization Registry
Document Type:
Regulation
Organization / Institution:
Department of Health and Environmental Control
Author:
Department of Health and Environmental Control
Target Audience:
Healthcare providers in South Carolina
Period of Validity:
Ongoing
Approval Date:
05/08/2019
Amendment Date:
04/18/2019
Year:
2013
Region / city:
VA, USA
Topic:
Immunization Data Management, Health IT
Document Type:
Business Requirements Document
Organization:
Department of Veterans Affairs (VA), Department of Defense (DoD)
Author:
Lauren Hardeen, Linda Hebert, Rob Silverman, Shawn Faherty
Target Audience:
Office of Information and Technology (OIT)
Effective Period:
2013-2014
Approval Date:
9/9/2013
Revision Date:
7/29/2013
Year:
2021
Institution:
Dallas College
Program:
School of Health Sciences
Document Type:
Requirements / Guidelines
Audience:
Prospective students
Vaccination Requirements:
MMR, Varicella, TDap, Influenza, Hepatitis B
Medical Examination:
Physical exam form required
CPR Certification:
Annual Basic Life Support for Health Care Providers
TB Screening:
Required within 12 months of application and annually
COVID-19 Policy:
Compliance with external clinical site requirements
Clinical Placement:
Documentation must be uploaded to third-party vendor
Approval Authority:
Dallas College
Note:
Year
Topic:
Immunization, healthcare procedures
Document type:
Policy and procedure
Target audience:
Healthcare professionals
Year:
2023
Region / City:
United States
Topic:
Immunization Services
Document Type:
Health Department Policy
Institution:
Local Health Department (LHD)
Author:
N/A
Target Audience:
Public Health Professionals, Healthcare Providers
Effective Period:
Ongoing
Approval Date:
N/A
Date of Changes:
N/A
Note:
Year
Region / City:
Knoxville, Tennessee
Theme:
Immunization Requirements, Student Health
Document Type:
University Policy
Organization / Institution:
University of Tennessee
Target Audience:
Newly Admitted Students, Active Service Members, Veterans
Year:
2013
Region / City:
Maryland
Topic:
Immunization billing
Document type:
Regulatory guidelines
Organization:
Maryland Department of Health
Author:
Maryland Department of Health
Target audience:
Local Health Departments, Medicaid providers, healthcare professionals
Period of validity:
Indefinite
Approval date:
Not specified
Modification date:
Not specified
Year:
Not specified
Region / City:
New Jersey
Topic:
Immunization, Health Records
Document Type:
Instructional Form
Organization / Institution:
New Jersey Department of Health
Author:
Not specified
Target Audience:
Site Administrators, Health Professionals
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Modifications:
Not specified
Year:
2019
Region / City:
Massachusetts
Subject:
Pediatric immunization administration codes reimbursement
Document Type:
Bulletin
Author:
Daniel Tsai, Assistant Secretary for MassHealth
Target Audience:
Physicians participating in MassHealth
Effective Date:
October 15, 2019
Date of Approval:
September 2019
Changes Date:
N/A
Note:
Year
Region / City:
Spokane, WA
Topic:
Vaccination program
Document type:
Instructional guide
Organization:
Spokane Regional Health District
Author:
Not specified
Target audience:
Healthcare providers participating in the VFC Program
Period of validity:
Ongoing, monthly reporting
Approval date:
Not specified
Modification date:
Not specified
Note:
Year
Topic:
Chemistry / Chemical Reactions
Document Type:
Educational material
Target Audience:
Students
Year:
2017
Region / City:
Johns Hopkins University
Theme:
Mass Spectrometry, Peptide Quantification
Document Type:
Standard Operating Procedure
Organization / Institution:
Johns Hopkins University
Author:
Hui Zhang
Target Audience:
Laboratory Personnel
Effective Period:
From 04/18/2017
Approval Date:
04/18/2017
Date of Changes:
None
Year:
2022
Region / City:
N/A
Topic:
Adverse Reaction Tracking, Drug Allergy Management
Document Type:
User Manual
Institution:
Department of Veterans Affairs
Author:
N/A
Target Audience:
Healthcare professionals in the Veterans Health Administration
Period of Validity:
N/A
Approval Date:
September 2022
Date of Amendments:
N/A
Note:
Year
Topic:
Chemistry, Chemical Reactions
Document Type:
Educational Material
Target Audience:
Students
Context:
A portfolio containing activities and experiments for students to investigate chemical reactions, focusing on concentration, temperature, kinetic energy, and reaction rates.
Title:
Severe Allergic Reaction – Anaphylaxis Protocol
Type of Document:
Medical Emergency Protocol
Subject:
Anaphylaxis Management
Setting:
School and School-Related Events
Target Population:
Children and Adults
Primary Medication:
Epinephrine
Additional Medication:
Albuterol Sulfate Inhalation Solution 0.083% (2.5mg/3ml)
Emergency Response:
EMS (911) Activation Required
Monitoring Requirements:
Heart Rate, Respiratory Status, pO2, Level of Consciousness
Equipment Referenced:
AED, Portable Oxygen, Ambu Bag, Pulse Oximeter, Nebulizer
Approval Authority:
Physician
Effective Date:
Not Specified
Issuing Entity:
School/District
Documentation Required:
Incident Report and Nursing Documentation