Step 2: EVENT CHECKLIST

Clear contents
Y N UK NA Remark
I. Is there strong evidence for other causes?
Y N UK NA
1)
II. Is there a known causal association with the vaccine or vaccination?
Vaccine product(s)
Y N UK NA
1)
2)
3)
Vaccine quality
Y N UK NA
4)
Immunization error
Y N UK NA
5)
6)
7)
8)
9)
10)
Immunization anxiety (Immunization Triggered Stress Response - ITSR)
Y N UK NA
11)
II (time): Was the event in section II (questions above from II 1 to II 11) within the time window of increased risk
Y N UK NA
12)
III. Is there strong evidence against a causal association?
Y N UK NA
1)
IV. Other qualifying factors for classification
Y N UK NA
1)
2)
3)
4)
5)
6)
  • Y - Yes
  • N - No
  • NS - Unknown
  • NA - Not applicable
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