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Volume: 26S1 - February 2000
Guidelines for Reporting Adverse Events Associated
with Vaccine Products
Supplementary guidelines for the Canadian Pharmaceutical Industry
Appendix 2 - Summary of Reporting Requirements Definition of Serious
Type of Reaction
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Report Within 15 Days
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Report Within 30 Days1
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Supply Annual
Summary (PSUR)2
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Type of Vaccine
New or All
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DOMESTIC REPORTS
(Spontaneous/Published)
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All Serious (see below)
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Non Serious, Unexpected
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Non Serious, Expected
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Lack of Efficacy (see text)
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FOREIGN REPORTS
(Spontaneous/Published)
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Serious Unexpected
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Serious Expected
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Non Serious Unexpected
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-
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Unusual situations (see text)
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-
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x
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x
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All
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DOMESTIC REPORTS3
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Serious Unexpected
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Serious Expected
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Lack of Efficacy
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x
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-
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x
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Some
(see text)
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FOREIGN REPORTS3
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Serious Unexpected
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x
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-
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x
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All
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1 This 30 day provision is not covered under the Regulations.
It is, however, a special request of the Division of Immunization.
2 As a minimum, the types of reaction to include
in the Annual Summary are based on the recommendations in the Final
Report of CIOMS Working Group II (see Appendix 3 for ordering address).
However, for VAAE, all reports received by a manufacturer are requested.
3 Studies not under an IND submission.
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Definition of "Serious"
"Serious" is defined as any reaction that
- results in death or is life-threatening
- requires in vaccine recipient hospitalization or prolongation
of existing hospitalization
- results in persistent or significant disability or incapacity
- is a congenital anomaly/birth defect.
In addition, LCDC defines "serious" for the purpose of database extraction
for review by the ACCA as meeting the following diagnoses or criteria
(see the VAAE reporting form in Appendix 5):
- anaphylaxis - all cases
- convulsion - afebrile and hospitalized
- febrile seizure with hospitalization for 3 days or more
- encephalopathy and encephalitis/meningitis - all cases
- anesthesia/paresthesia and paralysis - all cases
- Guillain Barré syndrome - all cases
- thrombocytopenia - all cases
- other severe or unusual events with hospitalization
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