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

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Provide an outl<strong>in</strong>e <strong>of</strong> <strong>the</strong> applicant’s procedures <strong>for</strong> <strong>the</strong> collection, onward notification<br />

and assessment <strong>of</strong> adverse events. Provide a list<strong>in</strong>g <strong>of</strong> all reported AEFIs <strong>for</strong> <strong>the</strong><br />

vacc<strong>in</strong>e <strong>in</strong> question <strong>in</strong> <strong>the</strong> last five years or s<strong>in</strong>ce <strong>the</strong> last WHO reassessment. As far<br />

as is possible from <strong>the</strong> reports received, applicants should list <strong>the</strong> type <strong>of</strong> reaction, lot<br />

number, date and place <strong>of</strong> immunization, patients’ <strong>in</strong>itials and age and, <strong>for</strong><br />

immunization series, <strong>the</strong> dose number. A judgement <strong>of</strong> seriousness and whe<strong>the</strong>r or not<br />

<strong>the</strong> event was expected (<strong>in</strong> <strong>the</strong> light <strong>of</strong> <strong>the</strong> prescrib<strong>in</strong>g <strong>in</strong><strong>for</strong>mation) should be<br />

provided where this is possible from <strong>the</strong> <strong>in</strong><strong>for</strong>mation. An assessment <strong>of</strong> <strong>the</strong><br />

relationship to <strong>the</strong> vacc<strong>in</strong>e made by a cl<strong>in</strong>ician and, where relevant, by <strong>the</strong> applicant<br />

company or its <strong>in</strong>dependent cl<strong>in</strong>ical expert, should be <strong>in</strong>cluded.<br />

Whenever periodic safety updated reports (PSURs) are available, <strong>the</strong>se shall be<br />

submitted. The PSURs should <strong>in</strong>clude <strong>in</strong><strong>for</strong>mation follow<strong>in</strong>g <strong>the</strong> ICH <strong>for</strong>mat from all<br />

geographical areas where <strong>the</strong> vacc<strong>in</strong>e is used, or <strong>the</strong> absence <strong>of</strong> such <strong>in</strong><strong>for</strong>mation<br />

should be defended.<br />

8.3.3 Recently licensed vacc<strong>in</strong>es<br />

In <strong>the</strong> case <strong>of</strong> vacc<strong>in</strong>es that have recently been licensed, provide <strong>in</strong><strong>for</strong>mation on any<br />

ongo<strong>in</strong>g phase IV studies or on any active monitor<strong>in</strong>g <strong>of</strong> <strong>the</strong> safety pr<strong>of</strong>ile that is<br />

tak<strong>in</strong>g place.<br />

8.3.4 Documentation <strong>of</strong> serious adverse events<br />

For serious adverse events reported <strong>in</strong> <strong>the</strong> last five years, or as long as <strong>the</strong> vacc<strong>in</strong>e has<br />

been marketed (when shorter than five years), provide <strong>the</strong> fullest possible description<br />

<strong>of</strong> each case, <strong>in</strong>clud<strong>in</strong>g any <strong>in</strong><strong>for</strong>mation <strong>the</strong>re may be on <strong>in</strong>vestigations, actions,<br />

patient treatment and outcome. This <strong>in</strong><strong>for</strong>mation should be provided as part <strong>of</strong> <strong>the</strong><br />

PSUR.<br />

Chapter 9: Production and distribution data<br />

9.1 Provide <strong>in</strong><strong>for</strong>mation on <strong>the</strong> quantity <strong>of</strong> f<strong>in</strong>ished product distributed domestically<br />

and exported <strong>in</strong> <strong>the</strong> previous three years. List <strong>the</strong> different presentations separately,<br />

and <strong>in</strong>dicate whe<strong>the</strong>r <strong>the</strong> list gives <strong>the</strong> numbers <strong>of</strong> vials or <strong>the</strong> numbers <strong>of</strong> doses<br />

distributed. When <strong>the</strong> product is a comb<strong>in</strong>ation vacc<strong>in</strong>e, <strong>in</strong><strong>for</strong>mation should also be<br />

provided on <strong>the</strong> history <strong>of</strong> distribution <strong>of</strong> component vacc<strong>in</strong>e(s), when applicable.<br />

9.2 Provide a list <strong>of</strong> countries where <strong>the</strong> product is licensed (market<strong>in</strong>g authorization)<br />

and supplied.<br />

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