Docket Management
Docket: 01N-0464 - Vaccine Adverse Event Reporting System; Revised Form VAERS-2
Comment Number: EC -4

Accepted - Volume 1

Comment Record
Commentor Mr. Wiley Crumpler Date/Time 2001-12-05 10:17:48
Organization North Carolina Immunization Branch
Category Other

Comments for FDA General
Questions
1. General Comments In Block F#4: Old form has: Any other vaccinations within 4 weeks prior to the date listed. Proposed form: Does not state whether it is prior to or after. The form states within 4 weeks of the date given Based on the review of the completed VAERS forms we receive at the North Carolina Immunization Program we believe this may cause some problem in understanding what is needed for the person completing the form. Thank you Wiley Crumpler NC Immunization Branch 919-715-6775




EC -4