Docket Management
Docket: 01N-0464 - Vaccine Adverse Event Reporting System; Revised Form VAERS-2
Comment Number: EC -18

Accepted - Volume 1

Comment Record
Commentor Dr. John Iskander Date/Time 2002-01-22 11:02:27
Organization CDC National Immunization Program, Vaccine Safety
Category Other

Comments for FDA General
Questions
1. General Comments Title box: This VAERS form can be faxed toll-free to 877-721-0366 OR ENTERED ONLINE AT http://www.vaers.org. Item A11 (Race/Ethnicity) Hispanic (may be of any ?; word is missing here) Directions for Completing this Form General Information ...most recent version of the Reportable Events Table, which can be viewed or downloaded at www.vaers.org or obtained by calling 1-800-822-7967. Specific Instructions Item D6: Should be SC, not IC Item E5: Add Use extra sheets if necessary Submitted, John Iskander MD MPH Current VAERS Project Officer Gina Mootrey DO MPH Past VAERS Project Officer




EC -18