ADRs that require significant medical intervention to prevent one of the other outcomes listed above are considered to be serious. To report an ADR for a vaccine, Health Professionals should complete a copy of the Vaccine-Associated Adverse Event Form. Fill in the sections that apply to the report as completely as possible, using a separate form for each patient. Additional pages may be attached if additional space is required. The success of the program depends on the quality and accuracy of the information sent in by the reporter.
Any information related to the reporter and patient identifiers is kept strictly confidential.
It is very important that follow-up reports are identified and linked to the original report. Health Professionals may also report ADRs to the manufacturer. Indicate on your ADR report sent to Health Canada if a case was also reported to the manufacturer. Where to send the report or to obtain more information. Send these ADR reports to your regional centre as listed below.