Docket Management
Docket: 01N-0464 - Vaccine Adverse Event Reporting System; Revised Form VAERS-2
Comment Number: EC -9

Accepted - Volume 1

Comment Record
Commentor Ms. Christine Stange Date/Time 2002-01-15 13:40:03
Organization MedcomSoft & D'Youville College
Category Health Professional

Comments for FDA General
1. General Comments The revised form, VAERS-2 in its outline form, eg: Box A, Box B etc. is a cleaner, more navigable form. My only suggestion would be to add under Box C, #8 Reporter's relationship to patient a checkbox for Nurse Practitioner. There are many of us out there in practice who might be responsible for completion of this form. This form would be more user friendly for NP's as it is in it's present format for our colleages, PA's and Nurses, if a checkbox for Nurse Practitioner's was added to your new draft. Thank you for the opportunity to review this form and offer comments.

EC -9