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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
  • 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
  • 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
  • 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

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
  • 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
  • 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
  • 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
  • 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
  • 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

Lorraine Schoenstadt MS, RN, BC

Chicago Department of Public Health

312-746-6226

[email protected]

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