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VAERS Reporting During a Large Scale Vaccination Clinic in Chicago Lessons Learned. Chicago Department of Public Health Immunization Program. Lorraine Schoenstadt MS, RN, BC Vaccine Safety Coordinator Chicago Department of Public Health.

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Vaers reporting during a large scale vaccination clinic in chicago lessons learned
VAERS Reporting During a Large Scale Vaccination Clinic in ChicagoLessons Learned

Chicago Department of Public Health

Immunization Program

Lorraine Schoenstadt MS, RN, BCVaccine Safety CoordinatorChicago Department of Public Health



Problem
Problem meningitis

  • Since 2006, increasing numbers of Group C meningococcal infections in Chicago

  • From January- April, 2008

    • Two deaths among teens residing in one neighborhood

    • Additional cases clustered in a nearby neighborhood

  • Although increasing, numbers not consistent with CDC definition of outbreak


Response
Response meningitis

  • April 20, 2008 - CDPH decision

    • Reinforce ACIP recommendation for adolescents (11-18 years) to receive meningococcal vaccine throughout the city

    • Administer vaccine to students attending schools in the two affected neighborhoods


Partners
Partners meningitis

  • CDPH staff

    • Immunization Program

    • Communicable Disease Program

    • Emergency Preparedness Program

    • Other programs

  • School staff

  • Respiratory Health Association

  • Other local health departments


Just in time training
“Just-in-time” training meningitis

Daily review of:

  • Standing medical orders

  • Consent Forms

    • Parents advised to follow up with their doctor with concerns after vaccination

  • Vaccine Information Statements

  • Vaccine administration guidelines

  • Contraindications

  • Observation area

  • Emergency procedures

  • VAERS forms were included in manual

    • No specific instructions on use of VAERS


Results
Results meningitis

  • April 24 –May 8, 2008

    • Schools: 53

      • Number of vaccinees: 6,831

      • On-site VAERS reports: 28

    • Park Districts: 2

      • Number of vaccinees: 436

      • On-site VAERS reports: 0


Summary of vaers reports
Summary of VAERS Reports meningitis

  • Number females: 15 (54%)

  • Number males: 13 (46%)

  • Events:

    • Syncope: 1 (3%)

    • Dizziness 11 (39%)

    • Headache 18 (64%)

    • SOB 2 (7%)

    • Nausea 9 (32%)

  • ER visits: 4 (14%)


Observations
Observations meningitis

  • Clustering of adverse events occurred during post-vaccination observation period

  • VAERS documentation lacked uniformity

    • Completed by vaccinators themselves or site coordinators

  • No systematic collection of off-site adverse events


Lessons learned
Lessons Learned meningitis

  • Review Vaccine Adverse Event Reporting procedures in “Just-in- Time” training

  • VAERS reports should be reviewed by the safety officer on a daily basis

  • Develop a system to organize and analyze

  • Complete some fields on VAERS forms ahead of time


Recommendations
Recommendations meningitis

  • The Vaccine Safety Coordinator should play a key role in the development of the Pandemic Operations Protocol and Plan

    • Build a network of key partners

    • Train partners on how to report and who to report to

    • Enhance existing plans/policies for reporting

    • Develop a database for tracking adverse events


Contact information
Contact Information meningitis

Lorraine Schoenstadt MS, RN, BC

Chicago Department of Public Health

312-746-6226

[email protected]


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