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Adverse Events Following Immunization Data Submission and Response Guidelines Adverse Events Following Immunization

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Adverse Events Following Immunization Data Submission and Response Guidelines Adverse Events Following Immunization Alberta Alberta Health Health Adverse Events Following Immunization Data Submission and Response Guidelines Adverse Events Following Immunization Data Submission and Response Guidelines Version 6.7 September 2018 Version 6.4 SupersededDecember 2015 Alberta Health Adverse Events to Immunization Data Submission Guidelines September 2018 Document Revisions Version Date Revision Description 6.7 September 2018 Submitter Prefix Codes(Table 2) • 33 - Workplace Health and Safety – AHS • 34 - Workplace Health and Safety – Covenant Health • 45 - Fort McKay First Nation • 46 – Alexis First Nation • 47 – Beaver First Nation • 48 – Lubicon Lake Nation Vaccine Codes (Table 33) Added Vaccine Codes: • Var-SI Shingles Inactivated • MenB FHbp Meningococcal B FHbp (recombinant) Changed description of Var-S vaccine Changed description of Vaccine Codes • Var-S Shingles Live • RSVIg Respiratory Syncytial Virus • Meningococcal B (4C, OMV recombinant, absorbed) Delivery Management Site Codes (Table 27) • 195 - Workplace Health and Safety – AHS • 196 - Workplace Health and Safety – Covenant Health • 320 - Safeway 8863 (St. Albert) • 321 - Safeway 8830 (Airdrie) • 322 - Safeway 8897 (Spruce Grove) • 323 - Safeway 8886 Callingwood (Edmonton) • 324 – Safeway 8912 Garrison Woods (Calgary) • 325 - Safeway 8877 Red Deer • 326 – Safeway 8894 (Fort Saskatchewan) • 327 – Safeway 8885 (Stoney Plain) • 328 - Safeway 8842 (Glenmore Landing) • 329 - Discovery Ridge Compounding Pharmacy & Travel Clinic • 856 - Fort McKay Health Centre • 857 – Alexis Health Services • 858 – Beaver First Nation Health Centre • 859 - Lubicon Lake Health Centre 6.6 JulySuperseded 2017 Submitter Codes (Table 2) Added Submitter Codes: • 32 Atlas Immunization Services • 49 Swan River First Nation Delivery Management Site Codes (Table 27) Added Delivery Management Site Codes: • 194 Atlas Travel Clinic © 2018 Government of Alberta I Alberta Health Adverse Events to Immunization Data Submission Guidelines September 2018 Version Date Revision Description • 313 Sobeys 3194 Lewis Estates (Edmonton) • 314 Sobeys 3143 Millwoods (Edmonton) • 315 Sobeys 1110 Tuscany (Calgary) • 316 Rita’s Apothecary and Home Healthcare Ltd. (Barrhead) • 317 Polaris Travel Clinic and Pharmacy (Airdrie) • 318 Safeway 8857 (Leduc) • 319 Sobeys 5190 (Walker) • 860 Swan River Health Centre Vaccine Codes (Table 33) Added Vaccine Codes: • BA-7 Botulism Antitoxin Heptavalent • Hib-MenC Haemophilus influenza b/Meningococcal Conjugate Vaccine Site Codes (Table 34) Added Vaccine Site Codes: • WO Wound • VE Vein Administering Method Codes (Table 35) Added Administering Method Codes: • INF Infiltrate • UNK Unknown 6.5 September 2016 Country Codes (Table 7) Updated County Code List Delivery Management Site Codes (Table 27) Added Delivery Management Sites: • 192 Red Earth Creek • 193 Peerless/Trout Lake • 311 Sobeys 5191 Nolan Hill - (Calgary) • 312 Safeway 8903 - (Calgary) 6.4 February 2016 Changed descriptions of First Nations Submitter and Delivery Management Site Codes. See tables 2 and 27. Submitter Codes (Table 2) Added Submitter Codes: • 31 University of Alberta • 50 Nunee Health Board Society Delivery Management Site Codes (Table 27) Added Delivery Management Sites: • 190 Chestermere CHC • 191 SMCHC • 307 University of Alberta Pharmacy Superseded• 308 Safeway 8898 Bonnie Doon (Edmonton) • 309 Pharmasave 367 Heritage Pointe (De Winton) • 310 Sobeys 1129 Royal Oak (Calgary) • 861 Nunee Health & Wellness Centre • 996 Rapid Response Changed Description of Delivery Management Site: The Delivery Management Site field identifies the clinic location where the © 2018 Government of Alberta II Alberta Health Adverse Events to Immunization Data Submission Guidelines September 2018 Version Date Revision Description immunization service was administered, or the clinic location where the adverse event following immunization was reported. Dosage Type Codes (Table 36) End Dated Dosage Type Codes: • Drop • GTTS • IU • MCG • MG Manufacturer Code (Table 37) Added Manufacture codes: • MYL Mylan • SEQ Seqirus • VAL Valneva 6.3 July 2015 Submitter Codes (Table 2) Added Submitter Codes: • 51 Paul First Nation • 52 Dene Tha' First Nation- Chateh • 53 Driftpile First Nation • 54 Athabasca Chipewyan First Nation • 56 Saddle Lake Cree Nation • 57 Sunchild First Nation Delivery Management Site Codes (Table 27) Added Delivery Management Sites: • 862 Chateh Health Center • 863 Maggie Willier Wellness Centre-Driftpile • 864 Fort Chipewyan Health & Wellness Centre • 865 Paul Band Health Centre • 866 Saddle Lake Health Care Centre • 867 Sunchild Health Centre Country Codes (Table 7) Added Country Code: • RS Serbia Vaccine Codes (Table 33) Added Vaccine Codes: • HPV- 9 Human Papillomavirus- Nonavalent • Td-IPV Tetanus/Diphtheria/Polio End Dated Vaccine Code: • TdP Tetanus/Diphtheria/Polio Superseded• Sma Smallpox Changed start Date for MEA vaccine to 1970/07/01 Manufacturer Codes (Table 37) Added Manufacturer Code: • NB Nuron Biotech 6.2 September 2014 Delivery Management Site Codes (Table 27) Added Delivery Management Site Codes: © 2018 Government of Alberta III Alberta Health Adverse Events to Immunization Data Submission Guidelines September 2018 Version Date Revision Description • 188 Chinook Regional Hospital • 189 University of Alberta • 302 Safeway 291 Dalhousie Station (Calgary) • 303 Safeway 887 (Windermere) • 304 Safeway 2243 (Thorncliffe) • 305 Shoppers 2335 (Sunpark) • 306 Winters Pharmacy North (Drayton Valley) • 997 Non AHS Immunizers Vaccine Codes (Table 33) Added Vaccine Codes: • Rot-5 Rotavirus – Pentavalent • Rot-U Rotavirus – Unspecified End Dated Vaccine Codes: • TBEV Tick-borne Encephalitis • CHO Cholera Changed Description of HPV and HPV-2 Vaccine descriptions (descriptions were reversed in previous DSG): • HPV Human Papillomavirus - Quadravalent • HPV- 2 Human Papillomavirus - Bivalent 6.1 May 2014 Submitter Prefix Codes (Table 2) Added Submitter Prefix Codes: • 58 Alexander First Nation • 59 Enoch Cree Nation • 60 Beaver Lake Cree Nation • 61 Little Red River Cree Nation - John D’or Prairie • 62 Little Red River Cree Nation - Fox Lake • 63 Little Red River Cree Nation - Garden River • 64 Duncan’s First Nation • 65 Wesley First Nation - Bighorn • 66 Maskwacis Health Services • 67 Whitefish Lake First Nation #459 - Atikameg • 68 Woodland Cree First Nation • 69 Loon River First Nation • 70 Tallcree First Nation • 71 Heart Lake First Nation • 72 Blood Tribe Department of Health • 73 Sturgeon Lake Cree Nation • 74 Sucker Creek First Nation • 75 Kapawe’no First Nation SupersededChanged Description of Submitter Prefix Codes: • 76 Dene Tha’ First Nation to Dene Tha’ - Bushe River • 77 North Peace Tribal Council to Dene Tha’ - Meander River • 80 Goodfish Lake Health Centre to Whitefish Lake First Nation #128 - Goodfish • 81 Aakom Kiyii Health Services to Aakom Kiyii Health Services - Piikani • 83 Bigstone Health Commission – Bigstone 1 to Bigstone Health Commission - Bigstone • 84 Cold Lake First Nations Health Services to Cold Lake First Nations © 2018 Government of Alberta IV Alberta Health Adverse Events to Immunization Data Submission Guidelines September 2018 Version Date Revision Description • 85 Stoney Trail Wellness Centre to Stoney Trail Wellness Centre - Eden Valley • 86 Morning Sky Health & Wellness Society to Morning Sky Health & Wellness Society - Frog Lake • 87 Kehewin Health Services to Kehewin Cree Nation • 88 Stoney Health Services to Stoney Health Services - Morley Delivery Management Site Codes (Table 27) Added Delivery Management Codes: • 868 Alexander Health Services • 869 Enoch Health Services • 870 Beaver Lake Health Services • 871 John D’or Prairie Health Centre • 872 Fox Lake Nursing Station • 873 Garden River Health Centre • 874 Duncan’s FN Health Centre • 875 Kiska Waptin Health Centre - Bighorn • 876 Maskwacis Health Services • 877 Atikameg Health Centre • 878 Woodland Cree Health Centre • 879 Loon River Health Centre • 880 Tallcree Health Services • 881 Heart Lake Health Centre • 882 Blood Tribe Department of Health • 883 Sturgeon Lake Heath Centre • 884 Sucker Creek Health Centre • 885 Kapawe’no Health Centre Changed Description of Delivery Management Sites Codes: • 886 Four Chiefs Complex to Four Chiefs Complex - Bushe River • 891 Aakom Kiyii Health Centre to Aakom Kiyii Health Services - Piikani • 895 Stoney Trail Wellness Centre to Stoney Trail Wellness Centre - Eden Valley • 897 Kehewin Health Centre to Kehewin Health Services • 898 Stoney Health Centre to Stoney Health Services - Morley Vaccine Codes (Table 33) Added Vaccine Code: • Men-B Meningococcal B Changed description of HPV and HPV-2 vaccines: • Human Papillomavirus – Bivalent • Human Papillomavirus - Quadravalent Superseded Dosage Type Codes (Table 36) Added Dosage Type Code: • UNK Unknown Manufacturer Codes (Table 37) Added Manufacturer Code: • VIN ViNS Bioproducts Limited 6.0 Jan 2014 Updated to Reflect changes to the new AEFI Form © 2018 Government of Alberta V Alberta Health Adverse Events to Immunization Data Submission Guidelines September 2018 Version Date Revision Description (Last revised Event Detail Codes no longer reportable: December 2013 • 3 “Sterile Abscess or Nodule” with minor • 7 “High Pitched Unusual Crying” changes to code • 10 “Encephalopathy” table additions) • 11 “Meningitis and/or Encephalitis” Changed Event Detail Codes: • 4 “Severe Pain and/or Swelling” to “Pain and/or Swelling” • 21 “Other Rash” to “Rash” Added the following event details: • 33 – Cellulitis • 34 – Sterile Abscess • 35 – Nodule • 36 – Encephalitis,
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