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| Hospital
Smallpox Vaccination Monitoring System (HSVMS)* |
The Hospital
Smallpox Vaccination Monitoring System (HSVMS), a voluntary, web-based
component of the CDC Smallpox Vaccination Program, was developed to assist
hospitals or other vaccine monitoring sites in real-time monitoring and
tracking of healthcare workers who receive smallpox vaccine. HSVMS can
be used to record the daily assessment of the vaccination site, symptoms
reported by the vaccinee, vaccine take, determination of fitness for duty,
and work days lost.
Fact
Sheet
Frequently
Asked Questions
Demonstration
Application (facility id=hip, password=123)
How
do I Enroll?
User
Manual  PDF
(487 KB/39 pages)
Quick
Start Guide PDF
(98 KB/7 pages) May
13, 2003
Download/Print
paper forms
Form
1 - Demographic Form
PDF (162KB)
Form
2 - Adverse Event Monitoring Form
PDF (226KB)
* The Centers
for Disease Control and Prevention is requesting this information under
the authority of Section 311 of the Public Health Service Act (42 U.S.C.
243), the NCVIA (42 U.S.C. 300aa-2(a)), and Section 304 of the Homeland
Security Act of 2002 (Pub. L. No. 107-296). The information will be used
in the analysis and follow-up of significant events associated with smallpox
vaccination. Furnishing the requested information is voluntary; however,
with more complete information, public health objectives, such as adequate
monitoring and follow-up of potential adverse events, are more readily
achievable. Information may be shared with authorized U.S. Department
of Health & Human Services’ personnel and public health or cooperating
medical authorities. State health departments may have access to the collected
information for their specific state.
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