vaccinationDescription
1

Step 1

2

Step 2

3

Step 3

4

Step 4

5

Step 5

6

Step 6

reporterHeading

*
*
*
*
*
*
*
# facilityHeading
*
patientHeading

*
*
*
*
*
*
*
*
# otherInformation
adverseHeading

*
*
vaccineHeading

*
*
*
# name batch dose startDate expire
noContent
Diluent If Applicable

# diluentName batchLot Reconstitution_date expire
noContent
outcomeHeading

isSerious
no yes
autopsy
no yes notUnknown
outcome:
*