Public providers are to complete the VAERS report online by going to https://vaers.hhs.gov/esub/step1.
A VAERS e-report number will be assigned to the completed report.
Send the VAERS e-report number via secure e-mail to the Oregon Immunization Program Vaccine Safety Coordinator at firstname.lastname@example.org
Immunization Rates and Performance Measures
Vaccine Administration Record - Pediatric and Adult now on one form
or via Fax to 971-673-0278
English (pdf) Spanish (pdf)
Forms Retention Schedule
All Local Health Department immunization programs are required to complete and submit an electronic version of the Immunization Plan Checklist. The next request for this checklist will coincide with the 2014-2015 Annual Plan required for all Local Health Departments.
Prior immunization triennial plans focused on quality improvement objectives and activities conducted by LHDs, both in-house and in the community. The new format is a checklist intended to simplify annual reporting obligations and allow local programs to do what they do best: provide the community with low and no-cost immunization services. The checklist is designed to document compliance with Program Element 43, which details required Local Health Department (LHD) immunization program services.
LHD immunization programs must continue to meet immunization performance measures and report on their progress towards:
- monitoring and providing services to Hepatitis B-exposed infants
- entering shot records in a timely fashion
- correctly coding patient eligibility in ALERT IIS
The new checklist has a section to document your efforts.
LHDs must submit an electronic version of the new annual plan checklist in December 2013
. The specific due date is to be determined, and will coincide with the due date of the LDH 2014-2015 Annual Plan.
The checklist will be forwarded to your Oregon Immunization Program (OIP) health educator for review and approval.
If there are questions about the checklist or where to locate the information you will need to complete it, please contact your OIP health educator (971-673-0300
or via e-mail).
317 policy changes
(Oct. 1, 2012)