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Vaccination schedule / Vaccine / Medical diagnosis / Influenza / Medicine / Health / Vaccination


ADVERSE EVENTS FOLLOWING IMMUNIZATION (AEFI) REPORT FORM INSTRUCTIONS: Please complete this form to report events that are serious OR require an urgent medical attention OR unusual/unexpected AND have a temporal associat
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Document Date: 2014-01-23 17:54:33


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City

City/town / /

Facility

Pharmacy Phone / /

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IndustryTerm

healthcare professional / imaging / /

MedicalCondition

loss of consciousness / Intussusception / Sore throat / *Guillain-Barre Syndrome / Abdominal pain / neurologic sign / altered level of consciousness / allergies / Parotitis / seizures / Arthritis / Cellulitis / Nausea / Anaphylaxis / Thrombocytopenia / Erythema / Formication / Fever / lethargy / Seizure / Numbness / *Encephalopathy/Encephalitis / injury / ANGIOEDEMA / Lymphadenitis / *Bell’s Palsy / Tachycardia / histopathologic abnormality Seizure / *Meningitis / Pruritus / Rash / Inflammatory / Wheezing / /

MedicalTreatment

Immunization / immunizations / immunization schedule / /

Organization

CDC Unit / Medicare / /

Person

Sheila Miramichi / /

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Position

Prime Minister / am/pm / physician / Medical Officer / Officer / Reporter / Public Health Nurse / /

ProvinceOrState

New Brunswick / /

Technology

ultrasound / MRI / /

URL

http /

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