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
1. General Comments Title box: This VAERS form can be faxed toll-free to 877-721-0366 OR ENTERED ONLINE AT 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 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