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Procedure for assessing the acceptability, in principle, of vaccines ...

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C. The manufacturer should provide details <strong>of</strong> GMP <strong>in</strong>spections (<strong>in</strong> which <strong>the</strong><br />

prequalified product was with<strong>in</strong> <strong>the</strong> scope <strong>of</strong> <strong>in</strong>spection) per<strong>for</strong>med s<strong>in</strong>ce <strong>the</strong><br />

previous annual report.<br />

D. A summary update on implementation <strong>of</strong> post-prequalification commitments<br />

should be provided by <strong>the</strong> manufacturer if <strong>the</strong>se are <strong>in</strong>dicated <strong>in</strong> <strong>the</strong> approval<br />

letter or reassessment report. These may be, <strong>for</strong> <strong>in</strong>stance:<br />

− reports <strong>of</strong> serious adverse events follow<strong>in</strong>g immunization;<br />

− reports <strong>of</strong> quality compla<strong>in</strong>ts and/or recalls from <strong>the</strong> field <strong>for</strong> batches <strong>of</strong><br />

<strong>the</strong> prequalified vacc<strong>in</strong>e;<br />

− notification <strong>of</strong> any problem/constra<strong>in</strong>t <strong>in</strong> production or quality control<br />

which might affect <strong>the</strong> <strong>in</strong>ternational supply <strong>of</strong> this vacc<strong>in</strong>e, both <strong>in</strong><br />

volume and/or lead times.<br />

E. The Periodic Safety Update Report should be provided (electronic data only).<br />

Follow<strong>in</strong>g review <strong>of</strong> <strong>the</strong> annual report, WHO may request support<strong>in</strong>g data.<br />

The submission <strong>of</strong> <strong>the</strong> first annual report should be <strong>the</strong> first submission deadl<strong>in</strong>e one<br />

year after <strong>the</strong> date <strong>of</strong> prequalification, with subsequent submissions each year on <strong>the</strong><br />

same date. The manufacturer may provide <strong>the</strong> latest annual report submitted to <strong>the</strong><br />

NRA provided that this conta<strong>in</strong>s <strong>the</strong> relevant <strong>in</strong><strong>for</strong>mation. The established deadl<strong>in</strong>es<br />

<strong>for</strong> submission <strong>of</strong> PSFs will apply (31 January, 31 May and 30 September and, <strong>for</strong><br />

seasonal <strong>in</strong>fluenza vacc<strong>in</strong>es, 1 July and 1 November).<br />

9 Reassessments<br />

Prequalification status is ma<strong>in</strong>ta<strong>in</strong>ed until action is taken by WHO to revoke it.<br />

However, periodic reassessment by WHO is required. The frequency, scope and need<br />

<strong>for</strong> reassessment will be based on quality risk management pr<strong>in</strong>ciples.<br />

The follow<strong>in</strong>g aspects will be taken <strong>in</strong>to consideration by WHO:<br />

31

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