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The Australian Immunisation Handbook 10th Edition 2013

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a person who is now ≥7 years of age can be made available to an immunisation<br />

service provider or parent/carer.<br />

<strong>The</strong> National HPV Vaccination Program Register (NHVPR, also referred to as<br />

the ‘HPV Register’) holds details of human papillomavirus (HPV) vaccinations<br />

reported to the Register since the commencement of the HPV Vaccination<br />

Program in April 2007. <strong>The</strong> NHVPR initially only recorded vaccinations for<br />

females, but from <strong>2013</strong> will also record vaccinations given to males. Details of<br />

HPV vaccinations held by the NHVPR can be obtained by phoning the Register<br />

on 1800 478 734 (1800 HPV REG). (See also 2.3.4 <strong>Immunisation</strong> registers.)<br />

In older children and adolescents, alternative sources of documentation (such as<br />

personal health records) will be needed, but are less likely to be available with<br />

increasing age. Persons who do not have personal vaccination records may seek<br />

evidence of past vaccination from their parents, their past and present healthcare<br />

providers or immunisation service providers. Those born after 1990 may have<br />

some vaccinations recorded on the ACIR (see 2.3.4 <strong>Immunisation</strong> registers).<br />

Information on how to obtain records of vaccines received through school-based<br />

vaccination programs can be obtained from state and territory government health<br />

departments (see Appendix 1 Contact details for <strong>Australian</strong>, state and territory<br />

government health authorities and communicable disease control).<br />

Adults (≥18 years of age)<br />

In adults, patient-held and/or provider-held documentation of previous<br />

vaccination history may not be available. In some cases, information may be<br />

available from other sources, such as the National HPV Vaccination Program<br />

Register and the <strong>Australian</strong> Q Fever Register. (See also 2.3.4 <strong>Immunisation</strong><br />

registers.)<br />

Incomplete documentation of prior vaccination<br />

If receipt of prior vaccination cannot be confirmed via the above methods, it<br />

should generally be assumed that the vaccine(s) required have not been given<br />

previously. All efforts should be made to confirm and ensure appropriate<br />

documentation of prior receipt of vaccines.<br />

For most vaccines (except Q fever), there are no adverse events associated with<br />

additional doses if given to an already immune person. In the case of diphtheria-,<br />

tetanus- and pertussis-containing vaccines and pneumococcal polysaccharide<br />

vaccines, frequent additional doses may be associated with an increase in local<br />

adverse events; however, the benefits of protection may outweigh the risk of an<br />

adverse reaction, for example, protection against pertussis from a booster dose<br />

of dTpa. (See also 4.2 Diphtheria, 4.12 Pertussis, 4.13 Pneumococcal disease or 4.19<br />

Tetanus.) Additional doses of MMR, varicella, inactivated poliomyelitis (IPV) or<br />

hepatitis B vaccines are rarely associated with significant adverse events.<br />

40 <strong>The</strong> <strong>Australian</strong> <strong>Immunisation</strong> <strong>Handbook</strong> <strong>10th</strong> edition

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