Prepare Vaccine Submissions

Learn how to process and prepare vaccine submissions using Vault Safety.

Vaccines Overview

Vault Safety supports processing and preparing submissions for adverse events in relation to a vaccine product. This support is provided through the Vaccine product type, regional fields, and E2B formats.

Prerequisites

Vaults originally deployed in 20R2 or an earlier release require configuration to enable vaccine product types and data capture. The vaccine feature enablement instructions provide more information.

For electronic submissions directly from Vault Safety, an administrator must configure the electronic connection settings. The following pages provide more information:

Vaccine Product Type

Once the Vaccine product type is made active, Administrators can configure a Vaccine-type Product in Business Admin.

Case Intake and Case Processing users can then select that Vaccine-type Product when they add a product to an Inbox Item or Case. The Vaccine object type is available for the Product, Study Product, and Case Product objects.

Preparing Vaccine Submissions

Vault Safety supports generating vaccine ICSR submissions using E2B formats. The following pages provide general information on generating reports and preparing submissions:

The following sections provide more information on preparing vaccine submissions to various health authorities.

Global Vaccine Submissions

Vault Safety supports generating ICH-compliant E2B files using the (R2) or (R3) format.

EMA VAERS Submissions

Vaccine submissions to the EMA should use the following settings:

EMA E2B (R3) specifications do not have regional fields for vaccines.

FDA VAERS Submissions

Vaccine submissions to the FDA should use the following settings:

Vault Safety is compliant with the ten (10) VAERS submission scenarios, described on the FDA website.

The FDA VAERS E2B (R3) tab on the E2B Generation Data Mapping page provides detailed information on how Vault generates each of the regional FDA VAERS fields.

FDA VAERS Acknowledgments

Vault Safety supports exchanging the three types of VAERS automated acknowledgment messages (ACKs). When Vault Safety receives an ACK, it is attached to the Submission record. Troubleshoot FDA Gateway Submissions provides more information on MDNs and ACKs.

The following table describes each VAERS ACK and the corresponding Vault Safety ACK:

Vault Safety ACK VAERS ACK Description
ACK1 - Establishing connection between the origin and destination gateway
ACK2 VAERS ACK1 FDA Message Delivery Notification (MDN) status
When this ACK is received, the Submission record is updated to the appropriate lifecycle state (MDN Received or MDN Failure)
ACK3 VAERS ACK2 Center acceptance/FDA Receipt Date
ACK4 VAERS ACK3 FDA AE Program-Level Acknowledgment
When this ACK is received, the Submission record is updated to the appropriate lifecycle state (E2B ACK Accepted, E2B ACK Rejected, or E2B ACK Warning)

FDA VAERS Regional Units of Measurement

Vault Safety ensures that only units of measurements and the appropriate codes supported by FDA VAERS are exported in the FDA VAERS E2B (R3) file format.

You can view these units in Business Admin > Objects > Agency Units of Measurement.

FDA VAERS Regional Fields

Vault Safety includes vaccine-related regional fields to support FDA VAERS submissions.

The following sections give an overview of how Vault captures FDA regional data for VAERS.

Additional Patient Information

The following list describes how Vault captures additional patient information for FDA VAERS:

  • Patient Contact Information — The Patient-type Case Contact captures patient contact information for FDA VAERS submissions. You cannot create more than one Patient Case Contact. Patient Contact is created on every Case where the patient is not a primary reporter.
  • Additional Personal Information — The following Patient fields on the Case object capture additional patient information.
    • Patient Prefix
    • Patient First Name
    • Patient Middle Name
    • Patient Last Name
    • Age at Vaccination
    • Military Status
    • Ethnicity (Reason Omitted)
    • Race (Reason Omitted)
  • Vaccine-related Pregnancy Field — The Pregnant at Exposure field on the Case object captures information about pregnancy and vaccination.
Parent Age at Vaccination

The Age at Vaccination field is available for Parent-type Cases. This field is auto-calculated on Study Cases with Vaccine Study Products.

Vaccine Product Information

The Vaccine Type field is available for Vaccine-type Case Products.

The Similar Device Controlled Vocabulary for the Drug Role field is also available to inform the FDA about additional US-marketed products having the same or similar device (FDA G.k.1.a) as the primary vaccine combination product for which a malfunction is being reported.

Vaccine Drug History

The following fields are available to capture vaccine drug history information:

  • Product Type
  • Age at Vaccination
Vaccines (Past 4 Weeks)

Vault looks at all Vaccine-type Case Products to determine whether any vaccines were given within 4 weeks of the suspect product, based on the latest dose recorded for each Case Product.

Vaccine Dosage

The following fields are available for Vaccine-type Case Product Dosages:

  • Administration Facility
  • Anatomical Site
  • Dose Number in Series
Illness at Vaccination

The Illness at Vaccination field is available on the Case Medical History object. When this field is set to “Yes”, the illness information is included in a separate section in the E2B transmission message. When this field is set to “No”, the illness information is included in the Medical History section.

Adverse Event Hospitalization Details

The following fields are available to capture details about vaccine adverse events that resulted in hospitalization or treatment:

  • Reaction Identifier
  • Hospitalization Required
  • Number of days hospitalized
  • Hospital Name
  • City
  • State
  • Resulted in Prolongation of Hospitalization
  • Emergency room/department or urgent care
  • Doctor/healthcare professional office
  • Outcome: None of the Above
Vaccination Facility

The Facility-type Case Contact captures contact information for the facility where the vaccine was administered. You can add a Facility record from the Case, and then reference the Facility from a Case Product Dosage record using the Administration Facility field.

Health Care Professional

The Health Care Professional-type Case Contact captures contact information for the health care professional who treated the patient for the adverse event that resulted in hospitalization or treatment.

VAERS Best Doctor

The best doctor field designates a health care professional (or reporter) as the best point of contact. You can only have one Health Care Professional Case Contact designated as the Best Doctor.

Additional Reporter Contact Information

The following fields capture additional reporter contact information for VAERS:

  • County
  • Street Line 2
  • Email
Reporter Qualification

Patient and Parent values are added as additional options in the Reporter Qualification field. These values are added in the deprecated state by default and must be set to Active by an administrator.

The Patient option impacts how Case Contacts are automatically created and updated. For more information, see How Case Contacts are Automatically Created and Updated.